Department of Physiology, Faculty of Medicine, University of Kelaniya, Ragama, Sri Lanka.
J Trop Pediatr. 2011 Feb;57(1):34-9. doi: 10.1093/tropej/fmq039. Epub 2010 Jun 4.
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.
青少年功能性胃肠病（FGD）的患病率知之甚少，特别是在发展中国家。本横断面研究在斯里兰卡的一所半城市学校进行，使用经过验证的自我管理问卷评估了 427 名 12-16 岁青少年的 FGD 全谱患病率。根据罗马 III 标准，123 名（28.8%）青少年患有 FGD。其中，59 名（13.8%）有腹痛相关的 FGD [肠易激综合征（IBS）30 例、功能性消化不良 15 例、功能性腹痛 13 例和腹型偏头痛 1 例]。功能性便秘、吞气症、青少年反刍综合征、周期性呕吐综合征和非潴留性粪便失禁的患病率分别为 4.2%、6.3%、4%、0.5%和 0.2%。当使用罗马 II 标准时，仅发现 58 名（13.6%）青少年患有 FGD。总之，研究组超过四分之一的青少年存在 FGD，其中 IBS 最为常见。罗马 III 标准比罗马 II 标准更全面地诊断 FGD。
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