S-Space College of Medicine/School of Medicine (의과대학/대학원) Internal Medicine (내과학전공) Journal Papers (저널논문_내과학전공)
The incidence and risk factors of irritable bowel syndrome after bacterial dysentery in Korea: preliminary results from ongoing study
- Koh, S. J.; Lee, D. H.; Park, Y. S.; Kim, N. Y.; Jung, H. C.
- Issue Date
- WILEY-BLACKWELL PUBLISHING, INC
- JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY; Vol.24 ; A55-A55
- Introduction There have been few reports performed to determine the
incidence and risk factors of IBS after microbiologically proven bacterial
gastroenteritis among community subjects in Asian countries, especially
Methods This is a prospective, community-based, cohort study whereby
all patients with microbiologically proven bacterial gastroenteritis were
recruited from Gyeonggi Province, Korea. Eligible patients who consented
to participate were interviewed through telephone calls using a standardized
questionnaire. IBS was diagnosed with the use of ROME II criteria
at baseline, 3 and 6 months after bacterial dysentery.
Results 109 patients with bacterial gastroenteritis were reported between
1 January 2008 and 31 January 2009 in Gyeonggi Province. Of the 109
patients, 68 patients between the ages of 15 and 75 years participated. 12
patients were excluded due to preexisting IBS, inability to provide
informed consent, current psychiatric illnesses, history of abdominal
surgery and chronic illnesses including malignancy. Of the remaining 56
patients, 4 patients (7.1%) had IBS symptoms during initial 3 month after
bacterial gastroenteritis. Of the 42 patients who completed a 6 month
follow-up questionnaire, 2 patients (4.8%) were diagnosed with IBS.
There was no association between symptoms during acute enteric infection
and the risk for the development of post-infectious IBS.
Conclusion These preliminary results showed that the incidence of irritable
bowel syndrome 3 and 6 months after bacterial gastroenteritis among
community subjects was 7.1 and 4.8%, respectively. This ongoing study
using large number of patients may provide the incidence and the risk
factors of IBS after bacterial gastroenteritis.
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