Systemic sclerosis & Raynaud's

Gastric disease in systemic sclerosis: Spectrum, challenges, and insights from a systematic literature review

Semin Arthritis RheumPublished Systematic literature review

Authors' conclusion

Gastric disease in SSc is underrecognized, yet clinically significant.

Study context

Population
Studies of gastric manifestations in systemic sclerosis (SSc) (dysmotility, gastric antral vascular ectasia (GAVE), mucosal abnormalities, Helicobacter pylori)37 studies
Outcome
Gastric manifestations in SSc: prevalence
Methodological detailsPRISMA, registered with PROSPERO, MEDLINE, EMBASE and Web of Science searched (September 2024)
  • PRISMA
  • Registered with PROSPERO
  • MEDLINE, EMBASE and Web of Science searched (September 2024)

Main finding

As reported in the abstract

Delayed gastric emptying

18-64 %

Bradygastria

12-70 %

GAVE prevalence

0 to 22.3 %

Helicobacter pylori prevalence

10-78 %

Further findings

GAVE associations with autoantibodies

Negatively associated with anti-topoisomerase-I and variably associated with anti-RNA polymerase III antibodies

Helicobacter pylori detection by method

Lower detection via biopsy or breath testing than serology

Objective findings vs patient-reported outcomes (PROs); gastric-specific mortality

Associations between objective findings and PROs inconsistent and underexplored; data on gastric-specific mortality limited

Original publication

Gastric disease in systemic sclerosis: Spectrum, challenges, and insights from a systematic literature review. Semin Arthritis Rheum. Published 9 February 2026. doi:10.1016/j.semarthrit.2026.152944

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