Ali ÖZDEN, Aydın Şeref KÖKSAL, Dilek OĞUZ, Bahattin ÇİÇEK, Uğur YILMAZ, ÜLKÜ DAĞLI, Erkan PARLAK, Kadir BAHAR, Burhan ŞAHİN, Jülide ÖZLER, Aslı ÖZDEN

Türkiye'de birinci basamak sağlık kurumlarında irritabl barsak sendromu görülme sıklığı

Giriş ve amaç: Bu çalışma Türkiye'de birinci basamak sağlık kurumları nda irritabl barsak sendromu (İBS) sıklığını saptamak için yapılmıştır. Gereç ve yöntem: Çalışma 2005 yılında Türkiye'nin 32 farklı ilindeki birinci basamak sağlık kuruluşuna başvuran olgular arasından rastgele seçilen 7520 olguda anket yapılarak gerçekleştirilmiştir. Anket birinci basamakta çalışan hekimler tarafından yapılmıştır. Hastalar başvurudaki ana yakınmalarına göre gastrointestinal sistem (GİS) ve GİS dışı olmak üzere iki guruba ayrıldıktan sonra, her iki gurup içinden rastgele seçilen 2203 olguya anket yapılarak birinci basamakta İBS prevalansı araştırılmı ştır. İBS tanısı Roma-II kriterlerine göre konulmuştur. Bulgular: Çalı şmaya katılan 7520 hastanın 2157'si (%31,5) GİS semptomları ile doktora başvururken, 5363'ü (%68,5) GİS dışı yakınmalar ile doktora başvurmuştur. GİS yakınmaları ile başvuran 2157 hasta arasından rastgele seçilerek anket yapılan 1461 olgunun 598'inde (%41), GİS dışı yakınmalar ile başvuran 5363 olgu arasından rastgele anket yapılan 742 olgunun 141'inde (%19) İBS tanısı konulmuştur. Sonuç: Bu çalışma ülkemizde fonksiyonel gastrointestinal hastalıkların sık görüldüğünü ve hastaları n yakınmalarının devamı nedeni ile birinci basamak hekimlerine sık başvurduklarını ortaya koymaktadır.

Anahtar Kelimeler:

İrritabl barsak sendromu, prevalans, birinci basamak, Türkiye

The frequency of irritable bowel syndrome in primary care centers of Turkey

Background/aim: The present study was done in order to determine the frequency of irritable bowel syndrome (IBS) in primary care centers of Turkey. Materials and methods: The study was carried out by applying questionnaire in a study population of 7520 patients who were randomly selected among those admitted to primary care centers in 32 different cities of Turkey in the year 2005. The questionnaire was applied by doctors working in the primary care centers. Patients were categorized in to two groups (gastrointestinal system (GIS) or non-GIS) depending on the main symptoms on admission. The prevalence of IBS in primary care centers was investigated by applying questionnaire to 2203 randomly selected patients from both of the groups. The diagnosis of IBS was based on the Rome- II criteria. Results: Among the 7520 patients participating in the study, 2157 (31.5%) were admitted with GIS symptoms and 5363 (41%) with non-GIS symptoms. Out of 2157 patients with GIS symptoms, questionnaire was performed in randomly selected 1461 patients and a diagnosis of İBS was reached in 598 (41%). Out of 5363 patients with non-GIS symptoms, questionnaire was performed in randomly selected 742 patients and a diagnosis of İBS was reached in 141 (19%). Conclusion: This study shows that functional GIS disorders are commonly seen in our country and the patients frequently admit to doctors in the primary care centers because of the persistence of their symptoms

Keywords:

Irritable bowel syndrome, prevalence, primary care, Turkey,

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