Gastroesophageal reflux disease and irritable bowel syndrome: A common overlap syndrome

被引:24
作者
Dickman R. [1 ]
Feroze H. [1 ]
Fass R. [1 ]
机构
[1] Neuro-Enteric Clinical Research Group, Southern Arizona VA Health Care System, Tucson, AZ 85723-0001
关键词
Irritable Bowel Syndrome; Functional Dyspepsia; GERD Symptom; Erosive Esophagitis; Proton Pump Inhibitor Therapy;
D O I
10.1007/s11894-006-0045-1
中图分类号
学科分类号
摘要
Gastroesophageal reflux disease (GERD) and irritable bowel syndrome (IBS) are very common disorders in the general population. Symptoms of IBS are commonly encountered in GERD patients, and symptoms of GERD are not uncommon in IBS patients. GERD patients consistently report lower abdominal symptoms, which may be part of the spectrum of GERD symptoms. Alternatively, GERD and IBS may be two distinct manifestations of a similar underlying pathophysiologic process that can affect different levels of the gastrointestinal tract. Although the reason for the overlap observed between GERD and IBS remains to be elucidated, recent studies have demonstrated that GERD patients who also suffer from IBS-like symptoms perceive their GERD-related symptoms as more severe and are less likely to respond to antireflux treatment, as compared with those without IBS. Copyright © 2006 by Current Science Inc.
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页码:261 / 265
页数:4
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共 28 条
  • [1] Jones R., Lydeard S., Irritable bowel syndrome in the general population, BMJ, 304, pp. 87-90, (1992)
  • [2] Hungin A.P., Whorwell P.J., Tack J., Mearin F., The prevalence, patterns and impact of irritable bowel syndrome: An international survey of 40,000 subjects, Aliment Pharmacol Ther, 17, pp. 643-650, (2003)
  • [3] Locke III G.R., Talley N.J., Fett S.L., Et al., Prevalence and clinical spectrum of gastroesophageal reflux: A population-based study in Olmsted County, Minnesota, Gastroenterology, 112, pp. 1448-1456, (1997)
  • [4] Agreus L., Svardsudd K., Talley N.J., Et al., Natural history of gastroesophageal reflux disease and functional abdominal disorders: A population based study, Am J Gastroenterol, 96, pp. 2905-2914, (2001)
  • [5] Locke III G.R., Zinsmeister A.R., Fett S.L., Et al., Overlap of gastrointestinal symptom complexes in a US community, Neurogastroenterol Motil, 17, pp. 29-34, (2005)
  • [6] Pimentel M., Rossi F., Chow E.J., Et al., Increased prevalence of irritable bowel syndrome in patients with gastroesophageal reflux, J Clin Gastroenterol, 23, pp. 221-224, (2002)
  • [7] Locke III G.R., Zinsmeister A.R., Talley N.J., Et al., Familial association in adults with functional gastrointestinal disorders, Mayo Clin Proc, 75, pp. 907-912, (2000)
  • [8] Kennedy T.M., Jones R.H., Hungin A.P., Et al., Irritable bowel syndrome, gastro-oesophageal reflux, and bronchial hyper-responsiveness in the general population, Gut, 43, pp. 770-774, (1998)
  • [9] Wong W.M., Fass R., Extraesophageal and atypical manifestations of GERD, J Gastroenterol Hepatol, 19, SUPPL. 3, (2004)
  • [10] Talley N.J., Boyce P., Jones M., Identification of distinct upper and lower gastrointestinal symptom groupings in an urban population, Gut, 42, pp. 690-695, (1998)