Prevalence, bowel habit subtypes and medical care-seeking behaviour of patients with irritable bowel syndrome in Northern Greece

Katsinelos, Panagiotis; Lazaraki, Georgia; Kountouras, Jannis; Paroutoglou, George; Oikonomidou, Irini; Mimidis, Kostas; Koutras, Christos; Gelas, George; Τζιόμαλος, Κωνσταντίνος; Zavos, Christos; Pilpilidis, Ioannis; Chatzimavroudis, Grigoris

doi:10.1097/meg.0b013e328312eb97

Cited by 31 publications

(30 citation statements)

References 35 publications

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“…We speculate that alcohol can increase intestinal membrane permeability and visceral sensitivity, thus changing the normal physiological function of the gut. Our findings that there were no statistically significant differences in QOL and SCL-90-R scores between IBS subtypes are consistent with the results of other previous research (Katsinelos et al, 2009;Park et al, 2009;Jamali et al, 2012). However, Eriksson et al (2008) found that QOL was lower in IBS-C and IBS-M when compared with other subtypes, and showed that the mean psychosocial scores were higher in IBS-M and IBS-C compared with IBS-D.…”

Section: Discussionsupporting

confidence: 92%

A cross-sectional study of irritable bowel syndrome in nurses in China: prevalence and associated psychological and lifestyle factors

Liu

Xiao

Yao

2014

J. Zhejiang Univ. Sci. B

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Abstract:The prevalence of irritable bowel syndrome (IBS) and associated factors, especially psychological and lifestyle factors, in nurses in China have not been investigated previously. The aims of this study were to assess the prevalence of IBS in nurses, to evaluate whether factors, such as psychological disorders, are associated with IBS, and to determine whether psychological disorders can influence the severity of symptoms of IBS and quality of life (QOL). A cross-sectional study was conducted for Chinese nurses from November 2012 to February 2013. Participants were asked to complete questionnaires. The prevalence of IBS was 17.4%. The revised symptom checklist 90 (SCL-90-R) scores were significantly higher for nurses with IBS than for those without IBS (P<0.001), and no difference in scores between IBS subtypes was found (F=1.893, P=0.142). The scores of QOL for nurses with and without IBS were 77.18±21.93 and 88.44±11.89 (P<0.001), respectively. Psychological disorders did not show statistically significant correlations with severity of symptoms of IBS or QOL. Alcohol consumption, low level of exercise, and psychological disorders were risk factors for IBS. In summary, nurses in China show a high prevalence of IBS. Psychological disorders and some related lifestyle factors are probably responsible for the development of IBS in nurses.

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Section: Discussionsupporting

confidence: 92%

A cross-sectional study of irritable bowel syndrome in nurses in China: prevalence and associated psychological and lifestyle factors

Liu

Xiao

Yao

2014

J. Zhejiang Univ. Sci. B

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“…In a recent large-scale Internet survey of 10 000 individuals across Japan to determine the prevalence of IBS and its subtypes using Rome III criteria, IBS-M was found to be the most frequent subtype (47% of cases) [28]. However, in our study, IBS-M was the second most common IBS subtype (27.8%), surpassed by IBS-C with a frequency similar to a previous European study based on Rome II criteria (19.3%) [29]. In contrast, a recent American study reported a prevalence of 44.1% for IBS-M in IBS patients [10].…”

Section: Discussionsupporting

confidence: 49%

Are floating stools associated with specific functional bowel disorders?

Bouchoucha

Devroede²,

Bénamouzig³

2015

European Journal of Gastroenterology &Amp; Hepatology

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“…Factors related with SIBO were secondary endpoints. The number of patients needed to this end was based on former results that 15.1% of the Greek population reported symptoms compatible with IBS [1]. If a relationship exists between SIBO and IBS, it is calculated that 300 patients should be enrolled with 80% power to identify 50 patients with SIBO.…”

Section: Study Endpoints and Sample Size Calculationmentioning

confidence: 99%

“…In the Greek population a recent survey among 2,397 individuals revealed that 15.1% of the Greek population suffers from IBS [1]. While the pathophysiology of IBS remains unknown, there is a growing body of research suggesting that gut flora and specifically small intestinal bacterial overgrowth (SIBO) may be implicated in the symptoms of this condition.…”

Section: Introductionmentioning

confidence: 99%

The Prevalence of Overgrowth by Aerobic Bacteria in the Small Intestine by Small Bowel Culture: Relationship with Irritable Bowel Syndrome

Pyleris

Giamarellos‐Bourboulis

et al. 2012

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Objectives Many studies have linked irritable bowel syndrome (IBS) with small intestinal bacterial overgrowth (SIBO), although they have done so on a qualitative basis using breath tests even though quantitative cultures are the hallmark of diagnosis. The purpose of this study was to underscore the frequency of SIBO in a large number of Greeks necessitating upper gastrointestinal (GI) tract endoscopy by using quantitative microbiological assessment of the duodenal aspirate. Methods Consecutive subjects presenting for upper GI endoscopy were eligible to participate. Quantitative culture of aspirates sampled from the third part of the duodenum during upper GI tract endoscopy was conducted under aerobic conditions. IBS was defined by Rome II criteria. Results Among 320 subjects enrolled, SIBO was diagnosed in 62 (19.4%); 42 of 62 had IBS (67.7%). SIBO was found in 37.5% of IBS sufferers. SIBO was found in 60% of IBS patients with predominant diarrhea compared with 27.3% without diarrhea (P = 0.004). Escherichia coli, Enterococcus spp and Klebsiella pneumoniae were the most common isolates within patients with SIBO. A stepwise logistic regression analysis revealed that IBS, history of type 2 diabetes mellitus and intake of proton pump inhibitors were independently and positively linked with SIBO; gastritis was protective against SIBO. Conclusions Using culture of the small bowel, SIBO by aerobe bacteria is independently linked with IBS. These results reinforce results of clinical trials evidencing a therapeutic role of non-absorbable antibiotics for the management of IBS symptoms.

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Prevalence, bowel habit subtypes and medical care-seeking behaviour of patients with irritable bowel syndrome in Northern Greece

Abstract: The prevalence of IBS in Northern Greece is relatively high, mainly affecting female participants living in urban areas.

Cited by 31 publications

References 35 publications

A cross-sectional study of irritable bowel syndrome in nurses in China: prevalence and associated psychological and lifestyle factors

A cross-sectional study of irritable bowel syndrome in nurses in China: prevalence and associated psychological and lifestyle factors

Are floating stools associated with specific functional bowel disorders?

The Prevalence of Overgrowth by Aerobic Bacteria in the Small Intestine by Small Bowel Culture: Relationship with Irritable Bowel Syndrome

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