Association between enteric dysmotility and GnRH antibodies: A meta-analysis

Background and aim: Recent studies reported a significant association between enteric dysmotility and GnRH antibodies, other studies reported no significant association. Therefore, we aimed to perform a meta-analysis to investigate and clarify the exact association between enteric dysmotility and Gn...

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Main Authors: Karam R. Motawea, Noheir Ashraf Ibrahem Fathy Hassan, Nesreen Elsayed Talat, Rowan H. Elhalag, Sarya Swed, Abdulqadir J. Nashwan, Agyad Bakkour, Bisher Sawaf, Ivan Cherrez-Ojeda, Wael Hafez
Format: Article
Language:English
Published: KeAi Communications Co., Ltd. 2023-10-01
Series:Gastroenterology & Endoscopy
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2949752323000481
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author Karam R. Motawea
Noheir Ashraf Ibrahem Fathy Hassan
Nesreen Elsayed Talat
Rowan H. Elhalag
Sarya Swed
Abdulqadir J. Nashwan
Agyad Bakkour
Bisher Sawaf
Ivan Cherrez-Ojeda
Wael Hafez
author_facet Karam R. Motawea
Noheir Ashraf Ibrahem Fathy Hassan
Nesreen Elsayed Talat
Rowan H. Elhalag
Sarya Swed
Abdulqadir J. Nashwan
Agyad Bakkour
Bisher Sawaf
Ivan Cherrez-Ojeda
Wael Hafez
author_sort Karam R. Motawea
collection DOAJ
description Background and aim: Recent studies reported a significant association between enteric dysmotility and GnRH antibodies, other studies reported no significant association. Therefore, we aimed to perform a meta-analysis to investigate and clarify the exact association between enteric dysmotility and GnRH antibodies. Methods: PubMed, Web of Science, and Scopus databases were searched. The inclusion criteria were any randomized control trials or observational studies that reported the level or prevalence of GnRH IgM or GnRH IgG antibodies in patients with enteric dysmotility matched with healthy controls. Exclusion criteria: Case reports, case series, reviews, editorials, and animal studies. RevMan software 5.4 was used to perform the meta-analysis. Results: After search of the literature, 4 studies were included in the meta-analysis with a total number of 469 individuals included in the study. The pooled analysis showed a statistically significant association between enteric dysmotility and increased prevalence of GnRH IgM antibodies compared with controls (RR ​= ​4.47, 95% CI ​= ​1.17 to 17.06, p-value ​= ​0.03). Contrarily, no statistically significant association between enteric dysmotility and the levels of IgM antibodies as well as the prevalence of IgG antibodies was found compared with controls, (MD ​= ​0.92, 95% CI ​= ​-1.01 to 2.86, p-value ​= ​0.35) and (RR ​= ​1.84, 95% CI ​= ​0.09 to 35.86, p-value ​= ​0.69), respectively. Conclusion: Our study detected a significant association between intestinal dysmotility and high prevalence of GnRH IgM antibodies when matched with controls. Conversely, we found no statistically significant association between enteric dysmotility and IgG antibodies. Further research is warranted to support our results and clarify the exact association between enteric dysmotility and GnRH antibodies.
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spelling doaj.art-82af194a9e0047c499736c803e9057662024-03-29T05:51:59ZengKeAi Communications Co., Ltd.Gastroenterology & Endoscopy2949-75232023-10-0114159164Association between enteric dysmotility and GnRH antibodies: A meta-analysisKaram R. Motawea0Noheir Ashraf Ibrahem Fathy Hassan1Nesreen Elsayed Talat2Rowan H. Elhalag3Sarya Swed4Abdulqadir J. Nashwan5Agyad Bakkour6Bisher Sawaf7Ivan Cherrez-Ojeda8Wael Hafez9Faculty of Medicine, Alexandria University, EgyptFaculty of Medicine, Aswan University, EgyptFaculty of Medicine, Alexandria University, EgyptFaculty of Medicine, Alexandria University, EgyptFaculty of Medicine, Aleppo University, Aleppo, SyriaNursing Department, Hamad Medical Corporation, Doha, Qatar; Corresponding author. P.O. Box 3050, Doha, Qatar.Faculty of Medicine, Albaath University, Homs, SyriaDepartment of Internal Medicine, Hamad Medical Corporation, Doha, QatarUniversidad Espíritu Santo, Samborondón, EcuadorNMC Royal Hospital, 16th Street, Khalifa City, Abu Dhabi, United Arab Emirates; Medical Research Division, Department of Internal Medicine, The National Research Centre, Cairo, EgyptBackground and aim: Recent studies reported a significant association between enteric dysmotility and GnRH antibodies, other studies reported no significant association. Therefore, we aimed to perform a meta-analysis to investigate and clarify the exact association between enteric dysmotility and GnRH antibodies. Methods: PubMed, Web of Science, and Scopus databases were searched. The inclusion criteria were any randomized control trials or observational studies that reported the level or prevalence of GnRH IgM or GnRH IgG antibodies in patients with enteric dysmotility matched with healthy controls. Exclusion criteria: Case reports, case series, reviews, editorials, and animal studies. RevMan software 5.4 was used to perform the meta-analysis. Results: After search of the literature, 4 studies were included in the meta-analysis with a total number of 469 individuals included in the study. The pooled analysis showed a statistically significant association between enteric dysmotility and increased prevalence of GnRH IgM antibodies compared with controls (RR ​= ​4.47, 95% CI ​= ​1.17 to 17.06, p-value ​= ​0.03). Contrarily, no statistically significant association between enteric dysmotility and the levels of IgM antibodies as well as the prevalence of IgG antibodies was found compared with controls, (MD ​= ​0.92, 95% CI ​= ​-1.01 to 2.86, p-value ​= ​0.35) and (RR ​= ​1.84, 95% CI ​= ​0.09 to 35.86, p-value ​= ​0.69), respectively. Conclusion: Our study detected a significant association between intestinal dysmotility and high prevalence of GnRH IgM antibodies when matched with controls. Conversely, we found no statistically significant association between enteric dysmotility and IgG antibodies. Further research is warranted to support our results and clarify the exact association between enteric dysmotility and GnRH antibodies.http://www.sciencedirect.com/science/article/pii/S2949752323000481Enteric dysmotilityGnRH antibodiesMeta-analysis
spellingShingle Karam R. Motawea
Noheir Ashraf Ibrahem Fathy Hassan
Nesreen Elsayed Talat
Rowan H. Elhalag
Sarya Swed
Abdulqadir J. Nashwan
Agyad Bakkour
Bisher Sawaf
Ivan Cherrez-Ojeda
Wael Hafez
Association between enteric dysmotility and GnRH antibodies: A meta-analysis
Gastroenterology & Endoscopy
Enteric dysmotility
GnRH antibodies
Meta-analysis
title Association between enteric dysmotility and GnRH antibodies: A meta-analysis
title_full Association between enteric dysmotility and GnRH antibodies: A meta-analysis
title_fullStr Association between enteric dysmotility and GnRH antibodies: A meta-analysis
title_full_unstemmed Association between enteric dysmotility and GnRH antibodies: A meta-analysis
title_short Association between enteric dysmotility and GnRH antibodies: A meta-analysis
title_sort association between enteric dysmotility and gnrh antibodies a meta analysis
topic Enteric dysmotility
GnRH antibodies
Meta-analysis
url http://www.sciencedirect.com/science/article/pii/S2949752323000481
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