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Post-infectious irritable bowel syndrome in patients with Shigella infection

Authors
 SANGWON JI  ;  HYOJIN PARK  ;  DOKYONG LEE  ;  YOUNG KOO SONG  ;  JAE PHIL CHOI  ;  SANG-IN LEE 
Citation
 JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY, Vol.20(3) : 381-386, 2005 
Journal Title
 JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY 
ISSN
 0815-9319 
Issue Date
2005
MeSH
Adult ; Cross Infection/epidemiology ; Disease Outbreaks ; Dysentery, Bacillary/complications* ; Dysentery, Bacillary/epidemiology ; Dysentery, Bacillary/microbiology ; Feces/microbiology ; Female ; Follow-Up Studies ; Humans ; Incidence ; Irritable Bowel Syndrome/diagnosis ; Irritable Bowel Syndrome/epidemiology ; Irritable Bowel Syndrome/etiology* ; Male ; Middle Aged ; Regression Analysis ; Retrospective Studies ; Risk Factors ; Shigella sonnei/isolation & purification* ; Surveys and Questionnaires
Keywords
15740480
Abstract
BACKGROUND AND AIMS: Bacterial gastroenteritis has been known as a risk factor of irritable bowel syndrome (IBS). Several risk factors of post-infectious IBS (PI-IBS) have been documented. The aims of this study were to verify the role of bacterial gastroenteritis in the development of IBS and the risk factors for the development of PI-IBS. The clinical course of PI-IBS was also investigated. METHODS: We recruited 143 patients with shigellosis during its outbreak and 113 controls. Both groups were followed up for 12 months. Bowel symptoms were evaluated by use of questionnaires at 3, 6 and 12 months after the initial recruitment. RESULTS: Complete data were obtained from 101 patients (70.6%) and 102 healthy controls (90.3%). At 12 months, 15 patients and six controls had IBS (adjusted OR; 2.9, 95% CI; 1.1-7.9). Of the 15 patients, five had IBS symptoms consistently for 12 months, three did not have IBS symptoms initially and seven had fluctuating bowel symptoms. The duration of diarrhea was an independent risk factor of PI-IBS. CONCLUSIONS: Bacterial gastroenteritis is a risk factor of IBS and the duration of diarrhea as the index of severity of initial illness is an independent risk factor of PI-IBS. The clinical course of PI-IBS is variable over the 1 year of follow-up.
Full Text
http://onlinelibrary.wiley.com/doi/10.1111/j.1440-1746.2005.03574.x/abstract
DOI
10.1111/j.1440-1746.2005.03574.x
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Park, Hyo Jin(박효진) ORCID logo https://orcid.org/0000-0003-4814-8330
Song, Young Goo(송영구) ORCID logo https://orcid.org/0000-0002-0733-4156
Lee, Sang In(이상인)
Ji, Sang Won(지상원)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/151358
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