학술논문

Stability of the irritable bowel syndrome and subgroups as measured by three diagnostic criteria – a 10-year follow-up study.
Document Type
Article
Source
Alimentary Pharmacology & Therapeutics. Sep2010, Vol. 32 Issue 5, p670-680. 11p. 7 Charts, 4 Graphs.
Subject
*IRRITABLE colon
*COLON diseases
*INDIGESTION
*HEARTBURN
*GASTROESOPHAGEAL reflux
Language
ISSN
0269-2813
Abstract
Aliment Pharmacol Ther 2010; 32: 670–680 Background The irritable bowel syndrome (IBS) is a common disorder, but information on its natural history is limited. Aim To study the performance of four IBS criteria in detecting incidence and stability of categories over a 10-year period. Method This study was a population-based postal study. Questionnaire was mailed to the same age- and gender-stratified random sample of the Icelandic population aged 18–75 years in 1996 and again in 2006. IBS was estimated by the Manning criteria, Rome II, Rome III, subgroups and self-report. Results Prevalence of IBS varied according to criteria: Manning showed the highest (32%) and Rome II the lowest (5%). Younger subjects and females were more likely to have IBS. Prevalence was stable over 10 years for all criteria except Rome III. There was a turnover in all IBS subgroups and a strong correlation among IBS, functional dyspepsia and heartburn. Conclusions The prevalence of the IBS remained stable over a 10-year period with a turnover in symptoms. The study suggests that IBS is a cluster of symptoms that float in time between different IBS categories, functional dyspepsia and heartburn. The irritable bowel syndrome in Iceland is very common and indicates a chronic condition, which poses a heavy burden on the health care system. [ABSTRACT FROM AUTHOR]