Epidemiology and health care seeking in the functional GI disorders: a population-based study

Koloski, Natasha A.; Talley, Nicholas J.; Boyce, Philip

doi:10.1111/j.1572-0241.2002.05783.x

Cited by 317 publications

(264 citation statements)

References 28 publications

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“…7 Individuals with IBS are more likely to consume health care resources than healthy individuals, 8 with up to 80% of sufferers consulting their primary care physician as a result of symptoms. 9,10 Diagnosing IBS can be challenging due to overlap between the symptoms that sufferers report and those of organic GI conditions such as celiac disease, [11][12][13] small intestinal bacterial overgrowth, 14 bile acid diarrhea, 15,16 exocrine pancreatic insufficiency, 17 or inflammatory bowel disease. 18 Partly as a result of this uncertainty, symptom-based diagnostic criteria were developed for use by physicians consulting with patients with suspected IBS as early as the 1970s, with Manning et al reporting six symptoms that were commoner among individuals found ultimately to have IBS after investigation.…”

Section: Introductionmentioning

confidence: 99%

Validation of the Rome III Criteria for the Diagnosis of Irritable Bowel Syndrome in Secondary Care

et al. 2013

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Section: Introductionmentioning

confidence: 99%

Validation of the Rome III Criteria for the Diagnosis of Irritable Bowel Syndrome in Secondary Care

et al. 2013

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“…Population based studies on this particular topic are rare and, in general, have methodological problems (24,28) considering the dif ficulty to exclude structural diseases in a large sample, as required for population studies. Another factor is that the diagnostic criteria for dyspepsia is not standard, although most authors use the criteria suggested by the Rome consensus (6,29,48) .…”

Section: Introductionmentioning

confidence: 99%

Prevalence of dyspeptic symptoms and heartburn of adults in Belo Horizonte, Brazil

Almeida

Martins

Cunha

et al. 2017

Arq. Gastroenterol.

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-Background -Medical literature has shown dyspepsia and heartburn related symptoms occur among 15% to 40% of the population. These symptoms can occur at any age and are more prevalent in women. Objective -Investigate the prevalence of dyspeptic symptoms and heartburn among individuals over 18. Methods -Individuals over 18 were randomly selected in public venues in Belo Horizonte/MG to participate. A standardized questionnaire that included questions related to social demographic characteristics, eating habits, digestive symptoms, medical appointments, medi cations, exams, previous surgeries and comorbidities was applied. A questionnaire about functional dyspepsia diagnosis (Rome III) was also applied.Results -A total of 548 individuals were interviewed. Among these, 58.4% were women, 59.3% were white, 55.9% were single and the average age was 36 years. Within this group, 376 individuals (68.6%) declared to have some symptom and/or use medication to relieve dyspepsia symptoms, and for these patients were applied the Rome III questionnaire. Based on the diagnostic criteria for the questionnaire proposed by the Rome III consensus, the symptom of postprandial fullness was reported by 6.7% of the individuals, early satiety (3.5%) and epigastric pain (10.6%). The overlap of these symptoms was very frequent. The prevalence of functional dyspepsia was 10.6% (postprandial discomfort syndrome (8.2%) and epigastric pain syndrome (2.4%). Among all participants, 52.5% reported heartburn, and 11.1% presented this symptom at least once a week. The most used drug was omeprazole. Conclusion -The prevalence of dyspeptic symptoms and heartburn among a Brazilian adult urban population is similar to those described in other countries. HEADINGS -Dyspepsia, diagnosis. Heartburn. Consenso.

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“…Em relação às características dessa amostra, deve-se assinalar que o presente estudo foi realizado somente na população que procurou atendimento médico e, portanto, não pode se inferir se a mesma associação deva ser encontrada nos pacientes com DF que não utilizaram os serviços de saúde. Contudo, em estudo de base populacional (14) sobre transtornos gastrointestinais funcionais, utilizando o Critério de Roma I, foi encontrada associação entre DF e morbidade psicológica, sendo que neuroticismo, depressão, ansiedade e angústia somática mostraram-se preditores para DF. Por outro lado, estudo mais recente (11) aponta para um percentual signifi cativamente maior de deprimidos entre os pacientes com DF que procuraram atendimento médico, quando comparados àqueles que não o procuraram.…”

Section: Discussionunclassified

Dispepsia funcional e depressão como fator associado

Silva¹,

Pinheiro²,

Silva³

et al. 2006

Arq. Gastroenterol.

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RESUMO ARQGA/1254 INTRODUÇÃOA dispepsia divide-se em dois grandes grupos: um secundário, a doença orgânica, e outro denominado dispepsia funcional (DF). A dispepsia orgânica (DO) pode ser defi nida como a secundária a lesões específi cas, como úlcera péptica, esofagite, câncer gástrico e colelitíase. Assim, é um agrupamento de sintomas resultantes de distintas doenças, sendo estudada a partir das mesmas (21) .No que se refere ao diagnóstico da DF, a falta de uniformidade em relação à defi nição motivou a realização de reuniões de especialistas de diferentes países, sendo mais conhecidas as de Chicago, nos EUA, e de Cortina e Roma, na Itália. As conclusões do Consenso de Roma II foram publicadas em livro em 2000 (7) e representam o esforço da comunidade científi ca para, a partir das investigações realizadas nos últimos anos, sistematizar o conhecimento a respeito dos transtornos gastrointestinais funcionais.O Consenso de Roma II (32) recomenda que a DF seja diagnosticada quando, em pelo menos 12 semanas consecutivas ou não, nos últimos 12 meses, o paciente apresentar: 1. dor ou desconforto no abdome superior, de caráter persistente ou recurrente, com peso epigástrico pós-prandial e/ou saciedade precoce e/ou náuseas e/ou vômitos e/ou distensão abdominal; 2. ausência de doença orgânica que possa explicar os sintomas; 3. ausência de evidências de que a dispepsia é aliviada pela evacuação ou associada à alteração na freqüência ou na forma das fezes.Essa defi nição (31) pretende abranger não só os pacientes que apresentam sintomas sem explicação identifi cável pelos exames, mas também aqueles que apresentam alterações fi siopatológicas ou microbiológicas de relevância clínica incerta para explicar os sintomas como: gastrite por

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Epidemiology and health care seeking in the functional GI disorders: a population-based study

Abstract: More than one third of the general population have one or more FGIDs. There seems to be a modest link between psychological morbidity and FGIDs, although other unknown factors seem to be more important in explaining health care seeking for these disorders.

Cited by 317 publications

References 28 publications

Validation of the Rome III Criteria for the Diagnosis of Irritable Bowel Syndrome in Secondary Care

Validation of the Rome III Criteria for the Diagnosis of Irritable Bowel Syndrome in Secondary Care

Prevalence of dyspeptic symptoms and heartburn of adults in Belo Horizonte, Brazil

Dispepsia funcional e depressão como fator associado

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