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Published in: Digestive Diseases and Sciences 5/2009

01-05-2009 | ORIGINAL ARTICLE

Irritable Bowel Syndrome and Gastroesophageal Reflux Disease in Primary Care: Is There a Link?

Authors: Ana Ruigómez, Mari-Ann Wallander, Saga Johansson, Luis Alberto García Rodríguez

Published in: Digestive Diseases and Sciences | Issue 5/2009

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Abstract

Population-based studies have shown that gastroesophageal reflux disease (GERD) and irritable bowel syndrome (IBS) coexist more commonly than expected by chance. We aimed to investigate the relationship between GERD and IBS in primary care. The General Practice Research Database was used to identify patients with a first diagnosis of GERD (n = 6,421) or IBS (n = 2,932). Patients were followed up for 12 months after diagnosis to investigate the incidence of IBS among GERD patients and GERD among IBS patients. The relative risk (RR) of developing IBS was 3.5 (95% CI: 2.3–5.4) in the GERD cohort compared with the comparison cohort. The RR of developing GERD was 2.8 (95% CI: 1.7–4.9) in the IBS cohort compared with the comparison cohort. A first diagnosis of either IBS or GERD significantly increases the risk of a subsequent diagnosis of the other condition.
Literature
4.
go back to reference Kennedy TM, Jones RH, Hungin AP, O’Flanagan H, Kelly P. Irritable bowel syndrome, gastro-oesophageal reflux, and bronchial hyper-responsiveness in the general population. Gut. 1998;43:770–774.PubMed Kennedy TM, Jones RH, Hungin AP, O’Flanagan H, Kelly P. Irritable bowel syndrome, gastro-oesophageal reflux, and bronchial hyper-responsiveness in the general population. Gut. 1998;43:770–774.PubMed
5.
go back to reference Wang JH, Luo JY, Dong L, Gong J, Tong M. Epidemiology of gastroesophageal reflux disease: a general population-based study in Xi’an of Northwest China. World J Gastroenterol. 2004;10:1647–1651.PubMed Wang JH, Luo JY, Dong L, Gong J, Tong M. Epidemiology of gastroesophageal reflux disease: a general population-based study in Xi’an of Northwest China. World J Gastroenterol. 2004;10:1647–1651.PubMed
8.
go back to reference Zagari RM, Pozzato P, Damian S, et al. The epidemiology of irritable bowel syndrome and its relationship with gastroesophageal reflux disease in the general population: results from the Loiano–Monghidoro study. Gastroenterology. 2006;130:S1132. Zagari RM, Pozzato P, Damian S, et al. The epidemiology of irritable bowel syndrome and its relationship with gastroesophageal reflux disease in the general population: results from the Loiano–Monghidoro study. Gastroenterology. 2006;130:S1132.
9.
go back to reference Jung HK, Halder S, McNally M, et al. Overlap of gastro-oesophageal reflux disease and irritable bowel syndrome: prevalence and risk factors in the general population. Aliment Pharmacol Ther. 2007;26:453–461.PubMed Jung HK, Halder S, McNally M, et al. Overlap of gastro-oesophageal reflux disease and irritable bowel syndrome: prevalence and risk factors in the general population. Aliment Pharmacol Ther. 2007;26:453–461.PubMed
12.
go back to reference Guillemot F, Ducrotte P, Bueno L. Prevalence of functional gastrointestinal disorders in a population of subjects consulting for gastroesophageal reflux disease in general practice. Gastroenterol Clin Biol. 2005;29:243–246. doi:10.1016/S0399-8320(05)80756-0.PubMed Guillemot F, Ducrotte P, Bueno L. Prevalence of functional gastrointestinal disorders in a population of subjects consulting for gastroesophageal reflux disease in general practice. Gastroenterol Clin Biol. 2005;29:243–246. doi:10.​1016/​S0399-8320(05)80756-0.PubMed
13.
go back to reference Agreus L, Svardsudd K, Talley NJ, Jones MP, Tibblin G. Natural history of gastroesophageal reflux disease and functional abdominal disorders: a population-based study. Am J Gastroenterol. 2001;96:2905–2914.PubMed Agreus L, Svardsudd K, Talley NJ, Jones MP, Tibblin G. Natural history of gastroesophageal reflux disease and functional abdominal disorders: a population-based study. Am J Gastroenterol. 2001;96:2905–2914.PubMed
16.
go back to reference Lawson D, Sherman V, Hollowell J. The general practice research database. Q J Med. 1998;91:445–452. Lawson D, Sherman V, Hollowell J. The general practice research database. Q J Med. 1998;91:445–452.
18.
go back to reference Jick H, Jick SS, Derby LE. Validation of information recorded on general practitioner based computerised data resource in the United Kingdom. BMJ. 1991;302:766–768.PubMedCrossRef Jick H, Jick SS, Derby LE. Validation of information recorded on general practitioner based computerised data resource in the United Kingdom. BMJ. 1991;302:766–768.PubMedCrossRef
21.
go back to reference Nasseri-Moghaddam S, Razjouyan H, Mamarabadi M, et al. Factors contributing in response of patients with gastroesophageal reflux disease to PPI therapy. Gastroenterology. 2008;134:A323. Nasseri-Moghaddam S, Razjouyan H, Mamarabadi M, et al. Factors contributing in response of patients with gastroesophageal reflux disease to PPI therapy. Gastroenterology. 2008;134:A323.
22.
23.
go back to reference Saito YA, Schoenfeld P, Locke GR 3rd. The epidemiology of irritable bowel syndrome in North America: a systematic review. Am J Gastroenterol. 2002;97:1910–1915.PubMed Saito YA, Schoenfeld P, Locke GR 3rd. The epidemiology of irritable bowel syndrome in North America: a systematic review. Am J Gastroenterol. 2002;97:1910–1915.PubMed
28.
go back to reference Whitehead WE, Crowell MD. Psychologic considerations in the irritable bowel syndrome. Gastroenterol Clin North Am. 1991;20:249–267.PubMed Whitehead WE, Crowell MD. Psychologic considerations in the irritable bowel syndrome. Gastroenterol Clin North Am. 1991;20:249–267.PubMed
29.
go back to reference El-Serag HB. Impact of irritable bowel syndrome: prevalence and effect on health-related quality of life. Rev Gastroenterol Disord. 2003;3:S3–S11.PubMed El-Serag HB. Impact of irritable bowel syndrome: prevalence and effect on health-related quality of life. Rev Gastroenterol Disord. 2003;3:S3–S11.PubMed
33.
go back to reference Talley NJ, Boyce PM, Jones M. Predictors of health care seeking for irritable bowel syndrome: a population based study. Gut. 1997;41:394–398.PubMed Talley NJ, Boyce PM, Jones M. Predictors of health care seeking for irritable bowel syndrome: a population based study. Gut. 1997;41:394–398.PubMed
37.
go back to reference Eliakim R, Abulafia O, Sherer DM. Estrogen, progesterone and the gastrointestinal tract. J Reprod Med. 2000;45:781–788.PubMed Eliakim R, Abulafia O, Sherer DM. Estrogen, progesterone and the gastrointestinal tract. J Reprod Med. 2000;45:781–788.PubMed
38.
go back to reference Bond EF, Heitkemper MM, Bailey SL. Estrogen suppresses gastric motility response to thyrotropin-releasing hormone and stress in awake rats. Res Nurs Health. 1998;21:221–228. doi :10.1002/(SICI)1098-240X(199806)21:3<221::AID-NUR5>3.0.CO;2-J.PubMedCrossRef Bond EF, Heitkemper MM, Bailey SL. Estrogen suppresses gastric motility response to thyrotropin-releasing hormone and stress in awake rats. Res Nurs Health. 1998;21:221–228. doi :10.1002/(SICI)1098-240X(199806)21:3<221::AID-NUR5>3.0.CO;2-J.PubMedCrossRef
40.
go back to reference Li TJ, Yu BP, Dong WG, Luo HS, Xu L, Li MQ. Ovarian hormone modulates 5-hydroxytryptamine 3 receptors mRNA expression in rat colon with restraint stress-induced bowel dysfunction. World J Gastroenterol. 2004;10:2723–2726.PubMed Li TJ, Yu BP, Dong WG, Luo HS, Xu L, Li MQ. Ovarian hormone modulates 5-hydroxytryptamine 3 receptors mRNA expression in rat colon with restraint stress-induced bowel dysfunction. World J Gastroenterol. 2004;10:2723–2726.PubMed
49.
go back to reference Bijkerk CJ, de Wit NJ, Stalman WA, Knottnerus JA, Hoes AW, Muris JW. Irritable bowel syndrome in primary care: the patients’ and doctors’ views on symptoms, etiology and management. Can J Gastroenterol. 2003;17:363–368. quiz 405–406.PubMed Bijkerk CJ, de Wit NJ, Stalman WA, Knottnerus JA, Hoes AW, Muris JW. Irritable bowel syndrome in primary care: the patients’ and doctors’ views on symptoms, etiology and management. Can J Gastroenterol. 2003;17:363–368. quiz 405–406.PubMed
Metadata
Title
Irritable Bowel Syndrome and Gastroesophageal Reflux Disease in Primary Care: Is There a Link?
Authors
Ana Ruigómez
Mari-Ann Wallander
Saga Johansson
Luis Alberto García Rodríguez
Publication date
01-05-2009
Publisher
Springer US
Published in
Digestive Diseases and Sciences / Issue 5/2009
Print ISSN: 0163-2116
Electronic ISSN: 1573-2568
DOI
https://doi.org/10.1007/s10620-008-0462-0

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