Document Detail

Symptom patterns and relative distribution of functional bowel disorders in 1,023 gastroenterology patients in Iran.
MedLine Citation:
PMID:  16565819     Owner:  NLM     Status:  MEDLINE    
BACKGROUND AND AIMS: There are scanty data on functional bowel disorder (FBD) patterns in Iran. This first-time study tried to provide preliminary data on relative distribution of different types of FBD and their symptom patterns in Iranian patients. METHODS: A consecutive sample of 1,023 patients in an outpatient gastroenterology clinic in central Tehran was interviewed using two questionnaires based on Rome II criteria from December 2004 to May 2005 to detect FBD patients. RESULTS: Of 1,023 gastroenterology patients, 410 met Rome II criteria for FBD; functional constipation, 115 (28%); irritable bowel syndrome (IBS), 110 (27%) [IBS-C, 29%; IBS-D, 11%; IBS-A, 60%]; functional bloating, 102 (25%); unspecified FBD, 76 (18%); and functional diarrhea, 7 (2%). FBD had no association with age or level of education, while it was more frequent in women (P=0.001). FBD was also more frequent among those with a history of abdominal/pelvic surgery (P=0.021). IBS patients had a lower mean of age compared with non-FBD group, while patients with constipation were older (Mann-Whitney U test, P=0.006). Constipation-related symptoms were the most frequent symptoms among IBS patients. Constipation (<3 defecations/week) was also the most frequent change in bowel habit in bloating and unspecified FBD patients. Fourteen percent of IBS consulters and 8.7% of functional constipation consulters met Rome II criteria for dyspepsia (disregarding the ruling out of upper gastrointestinal organic disease). Only 20% of patients with functional constipation were consulters. CONCLUSIONS: Population-based studies at provincial levels are essential to clarify FBD patterns in each provincial district in the country.
Delnaz Roshandel; Mohammadreza Rezailashkajani; Sepideh Shafaee; Mohammad Reza Zali
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Publication Detail:
Type:  Journal Article     Date:  2006-03-25
Journal Detail:
Title:  International journal of colorectal disease     Volume:  21     ISSN:  0179-1958     ISO Abbreviation:  Int J Colorectal Dis     Publication Date:  2006 Dec 
Date Detail:
Created Date:  2006-10-06     Completed Date:  2007-08-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8607899     Medline TA:  Int J Colorectal Dis     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  814-25     Citation Subset:  IM    
Research Center for Gastroenterology and Liver Diseases, Shaheed Beheshti University of Medical Sciences, Taleghani Hospital, Parvaneh Street, Velenjak, Tehran, Iran.
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MeSH Terms
Age Factors
Colonic Diseases, Functional / epidemiology*,  etiology,  physiopathology*
Constipation / epidemiology,  physiopathology
Diarrhea / epidemiology,  physiopathology
Digestive System Surgical Procedures / adverse effects
Dyspepsia / epidemiology,  physiopathology
Hysterectomy / adverse effects
Iran / epidemiology
Irritable Bowel Syndrome / epidemiology,  physiopathology
Middle Aged
Risk Factors
Sex Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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