Journal Article

Prevalence of Functional Gastrointestinal Diseases in a Cohort of Sri Lankan Adolescents: Comparison Between Rome II and Rome III Criteria

Niranga Manjuri Devanarayana, Chandralatha Adhikari, Waruni Pannala and Shaman Rajindrajith

in Journal of Tropical Pediatrics

Volume 57, issue 1, pages 34-39
Published in print February 2011 | ISSN: 0142-6338
Published online June 2010 | e-ISSN: 1465-3664 | DOI: http://dx.doi.org/10.1093/tropej/fmq039
Prevalence of Functional Gastrointestinal Diseases in a Cohort of Sri Lankan Adolescents: Comparison Between Rome II and Rome III Criteria

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Little is known about the prevalence of functional gastrointestinal diseases (FGDs) in adolescents, especially in developing countries. This cross-sectional survey conducted in a semi-urban school in Sri Lanka, assessed the prevalence of whole spectrum of FGDs in 427 adolescents (age 12–16 years) using a validated self-administered questionnaire. According to Rome III criteria, 123 (28.8%) adolescents had FGDs. Of them, 59 (13.8%) had abdominal-pain-related FGDs [irritable bowel syndrome (IBS) 30, functional dyspepsia 15, functional abdominal pain 13 and abdominal migraine 1]. Prevalence of functional constipation, aerophagia, adolescent rumination syndrome, cyclical vomiting syndrome and non-retentive faecal incontinence were 4.2, 6.3, 4, 0.5 and 0.2%, respectively. Only 58 (13.6%) adolescents were found to have FGDs when Rome II criteria were used. In conclusion, FGDs were present in more than one-fourth of adolescents in the study group, of which IBS was the most common. Rome III criteria were able to diagnose FGDs more comprehensively than Rome II.

Keywords: functional gastrointestinal disorder; irritable bowel syndrome; aerophagia; functional dyspepsia; constipation

Journal Article.  2711 words.  Illustrated.

Subjects: Paediatrics

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