Ulcerative colitis and irritable bowel syndrome: relationships with quality of life

OBJECTIVESQuality of life is reduced in inflammatory bowel disease. Irritable bowel syndrome (IBS)-like symptoms seem to be common in inflammatory bowel disease patients during the remission phase. We aimed to (i) assess the prevalence of IBS-like symptoms in ulcerative colitis (UC) patients during...

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Veröffentlicht in:European journal of gastroenterology & hepatology 2008-01, Vol.20 (1), p.46-50
Hauptverfasser: Ansari, Reza, Attari, Fatemeh, Razjouyan, Hadi, Etemadi, Arash, Amjadi, Hiva, Merat, Shahin, Malekzadeh, Reza
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container_issue 1
container_start_page 46
container_title European journal of gastroenterology & hepatology
container_volume 20
creator Ansari, Reza
Attari, Fatemeh
Razjouyan, Hadi
Etemadi, Arash
Amjadi, Hiva
Merat, Shahin
Malekzadeh, Reza
description OBJECTIVESQuality of life is reduced in inflammatory bowel disease. Irritable bowel syndrome (IBS)-like symptoms seem to be common in inflammatory bowel disease patients during the remission phase. We aimed to (i) assess the prevalence of IBS-like symptoms in ulcerative colitis (UC) patients during the remission phase and (ii) evaluate the impact of IBS symptoms on health-related quality of life (HRQOL) of UC patients in remission compared with the HRQOL of those in the active phase. METHODSNinety-five patients with UC (45 patients in the active phase and 50 in remission for at least 12 months) and 100 selected controls (recruited from among those who visited the orthopedic minor trauma outpatient clinic during 2004–2005) completed questionnaires to evaluate IBS-like symptoms according to ROME II criteriathe influence of these symptoms on the HRQOL of UC patients in remission was compared with that on the HRQOL of those in the active phase. Chi square and nonparametric tests were used. RESULTSThe prevalence of IBS-like symptoms in UC patients in remission and controls were 46 and 13%, respectively (P
doi_str_mv 10.1097/MEG.0b013e3282f16a62
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Irritable bowel syndrome (IBS)-like symptoms seem to be common in inflammatory bowel disease patients during the remission phase. We aimed to (i) assess the prevalence of IBS-like symptoms in ulcerative colitis (UC) patients during the remission phase and (ii) evaluate the impact of IBS symptoms on health-related quality of life (HRQOL) of UC patients in remission compared with the HRQOL of those in the active phase. METHODSNinety-five patients with UC (45 patients in the active phase and 50 in remission for at least 12 months) and 100 selected controls (recruited from among those who visited the orthopedic minor trauma outpatient clinic during 2004–2005) completed questionnaires to evaluate IBS-like symptoms according to ROME II criteriathe influence of these symptoms on the HRQOL of UC patients in remission was compared with that on the HRQOL of those in the active phase. Chi square and nonparametric tests were used. RESULTSThe prevalence of IBS-like symptoms in UC patients in remission and controls were 46 and 13%, respectively (P&lt;0.001). HRQOL seemed to be significantly reduced in both active UC patients and UC patients in remission with IBS, compared with UC patients in remission without IBS and with controls (P&lt;0.001). In active UC patients, the mean scores for most elements (as measured by SF36) were considerably lower than for UC patients in remission (P&lt;0.05). CONCLUSIONThe prevalence of IBS-like symptoms in UC patients in remission is about three times higher than in controls, and these patients have impaired HRQOL comparable with that of UC patients in the active phase.</description><identifier>ISSN: 0954-691X</identifier><identifier>EISSN: 1473-5687</identifier><identifier>DOI: 10.1097/MEG.0b013e3282f16a62</identifier><identifier>PMID: 18090990</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams &amp; Wilkins, Inc</publisher><subject>Adolescent ; Adult ; Anxiety - etiology ; Biological and medical sciences ; Colitis, Ulcerative - complications ; Colitis, Ulcerative - physiopathology ; Defecation - physiology ; Female ; Follow-Up Studies ; Gastroenterology. Liver. Pancreas. Abdomen ; Humans ; Irritable Bowel Syndrome - complications ; Irritable Bowel Syndrome - physiopathology ; Male ; Medical sciences ; Middle Aged ; Other diseases. Semiology ; Quality of Life ; Stomach. Duodenum. Small intestine. Colon. Rectum. Anus ; Surveys and Questionnaires</subject><ispartof>European journal of gastroenterology &amp; hepatology, 2008-01, Vol.20 (1), p.46-50</ispartof><rights>2008 Lippincott Williams &amp; Wilkins, Inc.</rights><rights>2008 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3800-1cf65366f180701e44f480b2e986bbe335ce979b9d3d3071e444154ab6441ea63</citedby><cites>FETCH-LOGICAL-c3800-1cf65366f180701e44f480b2e986bbe335ce979b9d3d3071e444154ab6441ea63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,4024,27923,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=19907332$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18090990$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ansari, Reza</creatorcontrib><creatorcontrib>Attari, Fatemeh</creatorcontrib><creatorcontrib>Razjouyan, Hadi</creatorcontrib><creatorcontrib>Etemadi, Arash</creatorcontrib><creatorcontrib>Amjadi, Hiva</creatorcontrib><creatorcontrib>Merat, Shahin</creatorcontrib><creatorcontrib>Malekzadeh, Reza</creatorcontrib><title>Ulcerative colitis and irritable bowel syndrome: relationships with quality of life</title><title>European journal of gastroenterology &amp; hepatology</title><addtitle>Eur J Gastroenterol Hepatol</addtitle><description>OBJECTIVESQuality of life is reduced in inflammatory bowel disease. Irritable bowel syndrome (IBS)-like symptoms seem to be common in inflammatory bowel disease patients during the remission phase. We aimed to (i) assess the prevalence of IBS-like symptoms in ulcerative colitis (UC) patients during the remission phase and (ii) evaluate the impact of IBS symptoms on health-related quality of life (HRQOL) of UC patients in remission compared with the HRQOL of those in the active phase. METHODSNinety-five patients with UC (45 patients in the active phase and 50 in remission for at least 12 months) and 100 selected controls (recruited from among those who visited the orthopedic minor trauma outpatient clinic during 2004–2005) completed questionnaires to evaluate IBS-like symptoms according to ROME II criteriathe influence of these symptoms on the HRQOL of UC patients in remission was compared with that on the HRQOL of those in the active phase. Chi square and nonparametric tests were used. RESULTSThe prevalence of IBS-like symptoms in UC patients in remission and controls were 46 and 13%, respectively (P&lt;0.001). HRQOL seemed to be significantly reduced in both active UC patients and UC patients in remission with IBS, compared with UC patients in remission without IBS and with controls (P&lt;0.001). In active UC patients, the mean scores for most elements (as measured by SF36) were considerably lower than for UC patients in remission (P&lt;0.05). CONCLUSIONThe prevalence of IBS-like symptoms in UC patients in remission is about three times higher than in controls, and these patients have impaired HRQOL comparable with that of UC patients in the active phase.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Anxiety - etiology</subject><subject>Biological and medical sciences</subject><subject>Colitis, Ulcerative - complications</subject><subject>Colitis, Ulcerative - physiopathology</subject><subject>Defecation - physiology</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Humans</subject><subject>Irritable Bowel Syndrome - complications</subject><subject>Irritable Bowel Syndrome - physiopathology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Other diseases. Semiology</subject><subject>Quality of Life</subject><subject>Stomach. Duodenum. Small intestine. Colon. Rectum. 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Liver. Pancreas. Abdomen</topic><topic>Humans</topic><topic>Irritable Bowel Syndrome - complications</topic><topic>Irritable Bowel Syndrome - physiopathology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Other diseases. Semiology</topic><topic>Quality of Life</topic><topic>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ansari, Reza</creatorcontrib><creatorcontrib>Attari, Fatemeh</creatorcontrib><creatorcontrib>Razjouyan, Hadi</creatorcontrib><creatorcontrib>Etemadi, Arash</creatorcontrib><creatorcontrib>Amjadi, Hiva</creatorcontrib><creatorcontrib>Merat, Shahin</creatorcontrib><creatorcontrib>Malekzadeh, Reza</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of gastroenterology &amp; hepatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ansari, Reza</au><au>Attari, Fatemeh</au><au>Razjouyan, Hadi</au><au>Etemadi, Arash</au><au>Amjadi, Hiva</au><au>Merat, Shahin</au><au>Malekzadeh, Reza</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ulcerative colitis and irritable bowel syndrome: relationships with quality of life</atitle><jtitle>European journal of gastroenterology &amp; hepatology</jtitle><addtitle>Eur J Gastroenterol Hepatol</addtitle><date>2008-01</date><risdate>2008</risdate><volume>20</volume><issue>1</issue><spage>46</spage><epage>50</epage><pages>46-50</pages><issn>0954-691X</issn><eissn>1473-5687</eissn><abstract>OBJECTIVESQuality of life is reduced in inflammatory bowel disease. Irritable bowel syndrome (IBS)-like symptoms seem to be common in inflammatory bowel disease patients during the remission phase. We aimed to (i) assess the prevalence of IBS-like symptoms in ulcerative colitis (UC) patients during the remission phase and (ii) evaluate the impact of IBS symptoms on health-related quality of life (HRQOL) of UC patients in remission compared with the HRQOL of those in the active phase. METHODSNinety-five patients with UC (45 patients in the active phase and 50 in remission for at least 12 months) and 100 selected controls (recruited from among those who visited the orthopedic minor trauma outpatient clinic during 2004–2005) completed questionnaires to evaluate IBS-like symptoms according to ROME II criteriathe influence of these symptoms on the HRQOL of UC patients in remission was compared with that on the HRQOL of those in the active phase. Chi square and nonparametric tests were used. RESULTSThe prevalence of IBS-like symptoms in UC patients in remission and controls were 46 and 13%, respectively (P&lt;0.001). HRQOL seemed to be significantly reduced in both active UC patients and UC patients in remission with IBS, compared with UC patients in remission without IBS and with controls (P&lt;0.001). In active UC patients, the mean scores for most elements (as measured by SF36) were considerably lower than for UC patients in remission (P&lt;0.05). CONCLUSIONThe prevalence of IBS-like symptoms in UC patients in remission is about three times higher than in controls, and these patients have impaired HRQOL comparable with that of UC patients in the active phase.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams &amp; Wilkins, Inc</pub><pmid>18090990</pmid><doi>10.1097/MEG.0b013e3282f16a62</doi><tpages>5</tpages></addata></record>
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subjects Adolescent
Adult
Anxiety - etiology
Biological and medical sciences
Colitis, Ulcerative - complications
Colitis, Ulcerative - physiopathology
Defecation - physiology
Female
Follow-Up Studies
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Irritable Bowel Syndrome - complications
Irritable Bowel Syndrome - physiopathology
Male
Medical sciences
Middle Aged
Other diseases. Semiology
Quality of Life
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Surveys and Questionnaires
title Ulcerative colitis and irritable bowel syndrome: relationships with quality of life
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