Overlap of symptoms of dyspepsia and gastroesophageal reflux in the community

BOR, Caymaz Canan; KİTAPÇIOĞLU, Gül; Mandiracioglu, Aliye; Bor, Serhat

Overlap of symptoms of dyspepsia and gastroesophageal reflux in the community

Gül KİTAPÇIOĞLU, (Ege Üniversitesi, Tıp Fakültesi, Halk Sağlığı Anabilim Dalı, İzmir, Türkiye)

Aliye MANDIRACIOĞLU, (Ege Üniversitesi, Tıp Fakültesi, Halk Sağlığı Anabilim Dalı, İzmir, Türkiye)

Caymaz Canan BOR, (Ege Üniversitesi, Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, İzmir, Türkiye)

Serhat BOR (Ege Üniversitesi, Tıp Fakültesi, Gastroenteroloji Anabilim Dalı, İzmir, Türkiye)

Turkish Journal of Gastroenterology

4 0

Yıl: 2007 Cilt: 18 Sayı: 1 Sayfa Aralığı: 14 - 19 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Overlap of symptoms of dyspepsia and gastroesophageal reflux in the community

Öz:

Amaç: Dispepsi ve gastroözofageal reşü hastalığı sık rastlanan kronik hastalıklardır. Klinikte bu iki semptomun gerçek sıklığı bilinmese de bazı hastaların her iki semptomu birlikte belirttikleri gözlenmektedir. Türkiye gelişmiş ülkelerden farklılıkları ile ilgi çekicidir. Veriler daha once yapılmış olan gastroözofageal reşü hastalığı prevalansı çalışmasından elde edilmiş ve her iki semptomun örtüşmesi araştırılmıştır. Yöntem: Daha önce Türkçe’ye çevrilerek, kültürel adaptasyonu, güvenilirlik ve geçerlilik çalışması yapılmış olan reşü anket formu kullanılmıştı r. Anket formu 20 yaş üzeri 8857 erişkinden rastgele seçilen 630 kişiye uygulanmıştır. Bulgular: Son 12 aylık süreçte katı- lımcıların %28,6 (180/630)’sı dispepsi yakınması olduğunu belirtmiştir. Semptom sıklıkları değerlendirilirken haftada bir ve daha sık olmak üzere, pirozis sıklığı %10, asit regürjitasyonu sıklığı %15,6, iki semptomdan biri olanların oranı ise %20 bulunmuştur. Dispepsi yakınması olan bireylerde gastroözofageal reşü hastalığı prevalansı %29,4, iken, gastroözofageal reşü hastalığı olanlarda dispepsi yakınması sıklığı ise %43,1 bulunmuştur. Semptomlu bireylerin sadece %21,0’i ve tüm çalışma grubunun %8,4’ü her iki semptomu birlikte belirtmişlerdir. Dispepsinin, gastroözofageal reşü hastalığına en sık eşlik eden semptom olduğu gözlenmiştir. Tüm dispeptik hastaların %54,3’ü ve dispepsi ile eş zamanlı gastroözofageal reşü hastalığı olanların %67,3’ü gastrik medikasyon aldığını bildirmiştir (p>0.05). Dispeptik semptomu olanların %29,9’u antasit %28,3’ü asit inhibitör tedavi aldığını bildirmiştir. Sonuç: Dispepsi, gastroözofageal reşü semptomları ile karşılaştırıldığında en fazla rahatsızlık veren semptomdur. Gastroözofageal reşü hastalarında dispepsi diğer semptomlardan daha yüksek orandadır. Yapılan bu çalışmada iki semptom grubunun örtüşme oranı, düşük gelirli, beyaz ırka mensup bireylerde bekledi- ğimizden düşük bulunmuştur.

Anahtar Kelime: Antasitler Gastroözefageal reflü Bulantı Hastalık ciddiyet indeksi Dispepsi Kusma Yaygınlık Anketler Mide yanması Geğirme Anti-enflamatuvar ajanlar, steroid olmayan

Konular: Cerrahi

Toplumda gastroözefageal reflü ve dispepsi semptomlarının örtüşmesi

Öz:

Background/aims: Dyspepsia and gastroesophageal reflux disease are common chronic diseases. In the clinical setting, some patients express both problems together; however, little is known about the real prevalence of the presence of the two symptoms. Turkey is particularly interesting because of differences observed from developed countries. We aimed to derive data from our previous prevalence of gastroesophageal reflux disease study and evaluate the overlap of the two symptoms. Methods: We used a previously validated and culturally adapted reflux questionnaire, which was translated into Turkish. The questionnaire was applied to 630 randomly selected subjects older than 20 years living in a population of 8857 adults. Results: 28.6% (180/630) of all responders defined dyspepsia within the last 12-month period. When symptom prevalence was considered at least weekly, the prevalence was 10% for heartburn, 15.6% for acid regurgitation, and 20% for either symptom. While the prevalence of gastroesophageal reflux disease was 29.4% in patients with dyspepsia, dyspepsia was found in 43.1% of patients with gastroesophageal reflux disease. Only 21% of symptomatic subjects or 8.4% of the entire study population had both symptoms. Dyspepsia was defined as the most bothersome symptom. 54.3% of all dyspeptic patients and 67.3% with both gastroesophageal reflux disease and dyspepsia used a gastric medication (p>0.05). 29.9% of subjects with dyspeptic symptoms defined antacid consumption and 28.3% acid inhibitor therapy. Conclusion: Dyspepsia was defined as the most bothersome symptom compared to gastroesophageal reflux disease symptoms. The prevalence of dyspepsia in patients with gastroesophageal reflux disease is more common than vice versa. However, the overlap of the two symptom groups was lower than expected in this low-income, Caucasian population.

Anahtar Kelime: Dyspepsia Vomiting Prevalence Questionnaires Heartburn Eructation Anti-Inflammatory Agents, Non-Steroidal Antacids Gastroesophageal Reflux Nausea Severity of Illness Index

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	KİTAPÇIOĞLU G, Mandiracioglu A, BOR C, Bor S (2007). Overlap of symptoms of dyspepsia and gastroesophageal reflux in the community. , 14 - 19.
Chicago	KİTAPÇIOĞLU Gül,Mandiracioglu Aliye,BOR Caymaz Canan,Bor Serhat Overlap of symptoms of dyspepsia and gastroesophageal reflux in the community. (2007): 14 - 19.
MLA	KİTAPÇIOĞLU Gül,Mandiracioglu Aliye,BOR Caymaz Canan,Bor Serhat Overlap of symptoms of dyspepsia and gastroesophageal reflux in the community. , 2007, ss.14 - 19.
AMA	KİTAPÇIOĞLU G,Mandiracioglu A,BOR C,Bor S Overlap of symptoms of dyspepsia and gastroesophageal reflux in the community. . 2007; 14 - 19.
Vancouver	KİTAPÇIOĞLU G,Mandiracioglu A,BOR C,Bor S Overlap of symptoms of dyspepsia and gastroesophageal reflux in the community. . 2007; 14 - 19.
IEEE	KİTAPÇIOĞLU G,Mandiracioglu A,BOR C,Bor S "Overlap of symptoms of dyspepsia and gastroesophageal reflux in the community." , ss.14 - 19, 2007.
ISNAD	KİTAPÇIOĞLU, Gül vd. "Overlap of symptoms of dyspepsia and gastroesophageal reflux in the community". (2007), 14-19.

APA	KİTAPÇIOĞLU G, Mandiracioglu A, BOR C, Bor S (2007). Overlap of symptoms of dyspepsia and gastroesophageal reflux in the community. Turkish Journal of Gastroenterology, 18(1), 14 - 19.
Chicago	KİTAPÇIOĞLU Gül,Mandiracioglu Aliye,BOR Caymaz Canan,Bor Serhat Overlap of symptoms of dyspepsia and gastroesophageal reflux in the community. Turkish Journal of Gastroenterology 18, no.1 (2007): 14 - 19.
MLA	KİTAPÇIOĞLU Gül,Mandiracioglu Aliye,BOR Caymaz Canan,Bor Serhat Overlap of symptoms of dyspepsia and gastroesophageal reflux in the community. Turkish Journal of Gastroenterology, vol.18, no.1, 2007, ss.14 - 19.
AMA	KİTAPÇIOĞLU G,Mandiracioglu A,BOR C,Bor S Overlap of symptoms of dyspepsia and gastroesophageal reflux in the community. Turkish Journal of Gastroenterology. 2007; 18(1): 14 - 19.
Vancouver	KİTAPÇIOĞLU G,Mandiracioglu A,BOR C,Bor S Overlap of symptoms of dyspepsia and gastroesophageal reflux in the community. Turkish Journal of Gastroenterology. 2007; 18(1): 14 - 19.
IEEE	KİTAPÇIOĞLU G,Mandiracioglu A,BOR C,Bor S "Overlap of symptoms of dyspepsia and gastroesophageal reflux in the community." Turkish Journal of Gastroenterology, 18, ss.14 - 19, 2007.
ISNAD	KİTAPÇIOĞLU, Gül vd. "Overlap of symptoms of dyspepsia and gastroesophageal reflux in the community". Turkish Journal of Gastroenterology 18/1 (2007), 14-19.