Abstract
The aim of this study was to analyze the data of endoscopy and symptoms in 118 Mexican patients with irritable bowel syndrome (IBS), dyspepsia, non-erosive reflux disease (NERD) and erosive esophagitis (EE). IBS criteria were fulfilling for dyspepsia patients in 47%, for NERD in 48%, and for EE patients in 48% of cases. Esophagitis was present in 42% of patients with IBS and in 45% of patients with dyspepsia. A higher prevalence of hiatus hernia was found in EE vs. NERD. Heartburn and acid eructation were associated with the presence of esophagitis; acid eructation, regurgitation and nocturnal pain with duodenitis; and heartburn and regurgitation with hiatus hernia. Males more frequently reported: mucus in feces, abdominal distension, nausea and gastritis; and women more frequently reported esophagitis and duodenitis. Patients with NERD (OR 2.54, 95% CI 1.08 to 5.99, p=0.04), tenesmus and early satiety, and men had an increase risk for reporting hard or lumpy stools. In conclusion, nearly half of the Mexican patients with NERD, EE and dyspepsia fulfill criteria for IBS. A large number of symptoms were correlated with endoscopy, which can be used to improve the indication of the endoscopy and its implementation in clinical studies.
Highlights
The overlap of upper and lower gastrointestinal (GI) symptoms is clearly established in some countries and regions, including Sweden (Bolling-Sternevald et al 2008), Belgium (Tack et al 2005), Greece (Papatheodoridis and Karamanolis 2005), France (Guillemot et al 2005), the United States (Cremonini and Talley 2004, Gasiorowska et al 2008, Locke et al 2005), and Asia (Ang et al 2005)
Upper abdominal pain was more frequent in patients with dyspepsia compared with irritable bowel syndrome (IBS) (p=0.006), non-erosive reflux disease (NERD) (p=0.02) and erosive esophagitis (EE) (p=0.01)
Heartburn was more frequent in NERD and EE compared with IBS (p=0.02) and dyspepsia (p=0.01)
Summary
The overlap of upper and lower gastrointestinal (GI) symptoms is clearly established in some countries and regions, including Sweden (Bolling-Sternevald et al 2008), Belgium (Tack et al 2005), Greece (Papatheodoridis and Karamanolis 2005), France (Guillemot et al 2005), the United States (Cremonini and Talley 2004, Gasiorowska et al 2008, Locke et al 2005), and Asia (Ang et al 2005). A recent report revealed a significant trend for an increase in the prevalence of rarely a study refers to dyspepsia in Hispanic patients (Akhtar and Shaheen 2004). This report of dyspepsia in African-American and Hispanic patients studied Hispanic patients that live outside Latin America (Akhtar and Shaheen 2004). Whether this is true or not for a Mexican population living in Latin America has never been studied, mostly considering that it is not clear if one can refer to Hispanic subjects with the obtained data of Hispanics that live in the United States (Awad 2008). The aim of the current study was to analyze the data of endoscopy and symptoms in Mexican patients with IBS, dyspepsia, NERD and EO
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