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Effects of the Rome IV Criteria to Functional Dyspepsia Symptoms in Saudi Arabia: Epidemiology and Clinical Practice

대한소화기학회지 2020년 76권 6호 p.304 ~ 313
Zacharakis Georgios, Al-Ghamdi Sameer, Almasoud Abdulaziz, Arahmane Omar, AlShehri Abdullah, Alharbi Moaz Hassan, Alsalmi Mana Mahmood, Alotibi Sultan Bander, Algaradi Yasameen Abdullah, Alsadiq Fatimah Nassir, Nikolaidis Pavlos,
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 ( Zacharakis Georgios ) - Prince Sattam Bin Abdulaziz University College of Medicine Prince Sattam bin Abdulaziz University Hospital Department of Internal Medicine Endoscopy Unit,
 ( Al-Ghamdi Sameer ) - Prince Sattam Bin Abdulaziz University College of Medicine Department of Family Medicine
 ( Almasoud Abdulaziz ) - Prince Sultan Military Medical City Al Kharj, Saudi Arabia; Endoscopy Unit
 ( Arahmane Omar ) - King Khaled Hospital and Prince Sultan Center for Health Care Riyadh, Saudi Arabia; Endoscopy Unit
 ( AlShehri Abdullah ) - AlKharj Military Hospital Department of Family Medicine
 ( Alharbi Moaz Hassan ) - Security Forces Hospital Department of Internal Medicine
 ( Alsalmi Mana Mahmood ) - IBN SINA National College for Medical Studies
 ( Alotibi Sultan Bander ) - IBN SINA National College for Medical Studies
 ( Algaradi Yasameen Abdullah ) - Prince Sattam Bin Abdulaziz University College of Medicine Prince Sattam bin Abdulaziz University Hospital Department of Internal Medicine Endoscopy Unit,
 ( Alsadiq Fatimah Nassir ) - Almaarefa Medical College
 ( Nikolaidis Pavlos ) - Al-Imam Mohammad Ibn Saud Islamic University College of Computer and Information Sciences

Abstract


Background/Aims: Limited data is available in Saudi Arabia (SA) regarding the prevalence of functional dyspepsia (FD) symptoms and its subtypes, as defined by the ROME IV criteria. This study evaluated the burden of self-reported FD symptoms in the adult general population of SA and the current clinical practices.

Methods: A web-based national cross-sectional health survey of the general population of SA was conducted using the Rome IV Diagnostic Questionnaire for Functional Gastrointestinal Disorders in Adults with additional questions on the presence of symptoms compatible with functional heartburn (FH) and irritable bowel syndrome (IBS). The quality of life and somatization questionnaires were also included.

Results: Overall, 3,114 adults completed the questionnaire, but 303 (9.7%) were excluded due to inconsistent responses. Of the 2,811 consistent responders, 532 (18.3%) fulfilled the Rome IV criteria for FD symptoms. These were distributed into the FD subtypes as follows: 208 (7.4%) had postprandial distress syndrome, 228 (8.1%) had epigastric pain syndrome, and 96 (3.4%) had the overlapping variant. IBS-like symptoms were reported in 232 (44%) and FH in 102 (19%) 19% (102) of the subjects with functional dyspepsia. H. pylori-associated dyspepsia was reported by 25% (87/348). High somatization, lower quality of life scores, younger age, and female sex were associated more with the FD symptoms participants than those without. Approximately 1/5 respondents used over-the-counter medications to relieve the FD symptoms.

Conclusions: In this population-based survey, FD affected almost 1/5 of the responding adult population in SA, which was less than previously reported.

키워드

Dyspepsia; Diagnosis; Prevalence; Irritable bowel syndrome; Heartburn

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