| Gastrointestinal dysfunction in a community sample of subjects with symptoms of irritable bowel syndrome. | |
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MedLine Citation:
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PMID: 12743435 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND/AIM: Irritable bowel syndrome (IBS) affects about 15-20% of the population of the Western countries. Traditionally, IBS has been an exclusion diagnosis, but recently definitions have emerged from population-based research. The aim of this population-based study was to evaluate any association between gastrointestinal pathophysiology and IBS in subjects with symptoms of IBS compared to subjects with no abdominal complaints. METHODS: From a random sample of 2,656 participants, subjects with IBS (32) together with subjects without abdominal complaints (26), were invited for further evaluation. IBS was defined as more than weekly experience of abdominal pain and distension, and in addition either borborygmia or altering stool consistency. The diagnostic work-up consisted of gastroscopy, manometry and 23-hour pH and pressure recordings of the oesophagus, lactose tolerance test, barium enema, measurement of colonic transit time, and rectoscopy. RESULTS: Compared to the group without abdominal complaints significantly more subjects with IBS had spasms of the colon (OR = 10.2 (1.2-87.3)), and abnormal contractions of the oesophagus at manometry (OR = 9.1 (1.1-78.2)). Furthermore, there was a non-significant tendency towards spasms at 23-hour pH and pressure recordings (OR = 3.58 (0.4-35.2)), and more discomfort at lactose tolerance test (OR = 5.8 (0.6-51.3)) in persons with IBS compared to subjects without abdominal complaints. CONCLUSION: The results of this population-based study indicate that signs of gastrointestinal dysmotility and hyperperception are more prevalent in subjects with IBS than in subjects without abdominal complaints. |
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Authors:
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Charlotte Lanng; Dennis Mortensen; Merete Friis; Lene Wallin; Lise Kay; Steen Boesby; Torben Jørgensen |
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Publication Detail:
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Type: Comparative Study; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Digestion Volume: 67 ISSN: 0012-2823 ISO Abbreviation: Digestion Publication Date: 2003 |
Date Detail:
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Created Date: 2003-05-13 Completed Date: 2003-08-26 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0150472 Medline TA: Digestion Country: Switzerland |
Other Details:
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Languages: eng Pagination: 14-9 Citation Subset: IM |
Copyright Information:
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Copyright 2003 S. Karger AG, Basel |
Affiliation:
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Centre for Preventive Medicine, Copenhagen University Hospital, Glostrup, Denmark. charl@fa.dk |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Barium Sulfate / diagnostic use Case-Control Studies Colonic Diseases, Functional / diagnosis, epidemiology, physiopathology* Enema / methods Female Gastrointestinal Motility / physiology* Humans Lactose Tolerance Test Male Manometry Middle Aged Prevalence Proctoscopy |
| Chemical | |
Reg. No./Substance:
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7727-43-7/Barium Sulfate |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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