Incidence and Predictive Factor of Irritable Bowel Syndrome After Acute Diverticulitis in Korea

NCT ID: NCT02003807

Last Updated: 2013-12-06

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

102 participants

Study Classification

OBSERVATIONAL

Study Start Date

2013-07-31

Study Completion Date

2013-09-30

Brief Summary

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The pathogenesis of irritable bowel syndrome (IBS) is considered immune reaction of gastrointestinal tract. Therefore there is growing evidence that IBS could occur after gastroenteritis. However, little is known about the incidence of IBS after acute diverticulitis. We thought that post diverticulitis status could induce IBS because diverticulitis was also bowel inflammatory disorder. This survey was designed to identify incidence of post-diverticulitis IBS and risk factor in Korea.

Detailed Description

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Conditions

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Diverticulitis and Irritable Bowel Syndrome

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

RETROSPECTIVE

Study Groups

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Diverticulitis patients (case)

Cases were the patients who admitted to hospital because of acute diverticulitis attack.

No interventions assigned to this group

Non-diverticulitis patients (control)

Controls were the patients who admitted to hospital due to non-gastrointestinal disorder.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* 20 years or over
* Patients who diagnosed diverticulitis by CT scan from 2006 to 2010 (Case)
* Patients who admitted to hospital because of non-gastrointestinal disorder (Control)

Exclusion Criteria

* Patients who diagnosed IBS before diverticulitis (Case)
* Patients who diagnosed IBS before admission (Control)
* Patients with bowel resection surgery except for laparoscopic appendectomy
* Pregnancy
* Do not agree the consent of this study
* Patients who dose not understand telephone survey such as foreigner, mental retardation.
Minimum Eligible Age

20 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Yonsei University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Division of Gastroenterology, Department of Internal Medicine, Yonsei University College of Medicine

Seoul, , South Korea

Site Status

Countries

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South Korea

References

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Lovell RM, Ford AC. Global prevalence of and risk factors for irritable bowel syndrome: a meta-analysis. Clin Gastroenterol Hepatol. 2012 Jul;10(7):712-721.e4. doi: 10.1016/j.cgh.2012.02.029. Epub 2012 Mar 15.

Reference Type BACKGROUND
PMID: 22426087 (View on PubMed)

Ballou SK, Keefer L. Multicultural considerations in the diagnosis and management of irritable bowel syndrome: a selective summary. Eur J Gastroenterol Hepatol. 2013 Oct;25(10):1127-33. doi: 10.1097/MEG.0b013e3283632bf2.

Reference Type BACKGROUND
PMID: 23778308 (View on PubMed)

Ohman L, Simren M. New insights into the pathogenesis and pathophysiology of irritable bowel syndrome. Dig Liver Dis. 2007 Mar;39(3):201-15. doi: 10.1016/j.dld.2006.10.014. Epub 2007 Jan 30.

Reference Type BACKGROUND
PMID: 17267314 (View on PubMed)

Ishihara S, Tada Y, Fukuba N, Oka A, Kusunoki R, Mishima Y, Oshima N, Moriyama I, Yuki T, Kawashima K, Kinoshita Y. Pathogenesis of irritable bowel syndrome--review regarding associated infection and immune activation. Digestion. 2013;87(3):204-11. doi: 10.1159/000350054. Epub 2013 May 23.

Reference Type BACKGROUND
PMID: 23712295 (View on PubMed)

Hughes PA, Zola H, Penttila IA, Blackshaw LA, Andrews JM, Krumbiegel D. Immune activation in irritable bowel syndrome: can neuroimmune interactions explain symptoms? Am J Gastroenterol. 2013 Jul;108(7):1066-74. doi: 10.1038/ajg.2013.120. Epub 2013 May 7.

Reference Type BACKGROUND
PMID: 23649183 (View on PubMed)

Jung IS, Kim HS, Park H, Lee SI. The clinical course of postinfectious irritable bowel syndrome: a five-year follow-up study. J Clin Gastroenterol. 2009 Jul;43(6):534-40. doi: 10.1097/MCG.0b013e31818c87d7.

Reference Type BACKGROUND
PMID: 19262407 (View on PubMed)

Zanini B, Ricci C, Bandera F, Caselani F, Magni A, Laronga AM, Lanzini A; San Felice del Benaco Study Investigators. Incidence of post-infectious irritable bowel syndrome and functional intestinal disorders following a water-borne viral gastroenteritis outbreak. Am J Gastroenterol. 2012 Jun;107(6):891-9. doi: 10.1038/ajg.2012.102. Epub 2012 Apr 24.

Reference Type BACKGROUND
PMID: 22525306 (View on PubMed)

Ji S, Park H, Lee D, Song YK, Choi JP, Lee SI. Post-infectious irritable bowel syndrome in patients with Shigella infection. J Gastroenterol Hepatol. 2005 Mar;20(3):381-6. doi: 10.1111/j.1440-1746.2005.03574.x.

Reference Type BACKGROUND
PMID: 15740480 (View on PubMed)

Spiller R, Garsed K. Postinfectious irritable bowel syndrome. Gastroenterology. 2009 May;136(6):1979-88. doi: 10.1053/j.gastro.2009.02.074. Epub 2009 May 7.

Reference Type BACKGROUND
PMID: 19457422 (View on PubMed)

Strate LL, Modi R, Cohen E, Spiegel BM. Diverticular disease as a chronic illness: evolving epidemiologic and clinical insights. Am J Gastroenterol. 2012 Oct;107(10):1486-93. doi: 10.1038/ajg.2012.194. Epub 2012 Jul 10.

Reference Type BACKGROUND
PMID: 22777341 (View on PubMed)

Cohen E, Fuller G, Bolus R, Modi R, Vu M, Shahedi K, Shah R, Atia M, Kurzbard N, Sheen V, Agarwal N, Kaneshiro M, Yen L, Hodgkins P, Erder MH, Spiegel B. Increased risk for irritable bowel syndrome after acute diverticulitis. Clin Gastroenterol Hepatol. 2013 Dec;11(12):1614-9. doi: 10.1016/j.cgh.2013.03.007. Epub 2013 Mar 21.

Reference Type BACKGROUND
PMID: 23524129 (View on PubMed)

Rafferty J, Shellito P, Hyman NH, Buie WD; Standards Committee of American Society of Colon and Rectal Surgeons. Practice parameters for sigmoid diverticulitis. Dis Colon Rectum. 2006 Jul;49(7):939-44. doi: 10.1007/s10350-006-0578-2. No abstract available.

Reference Type BACKGROUND
PMID: 16741596 (View on PubMed)

Hammond NA, Nikolaidis P, Miller FH. Left lower-quadrant pain: guidelines from the American College of Radiology appropriateness criteria. Am Fam Physician. 2010 Oct 1;82(7):766-70.

Reference Type BACKGROUND
PMID: 20879699 (View on PubMed)

Thabane M, Kottachchi DT, Marshall JK. Systematic review and meta-analysis: The incidence and prognosis of post-infectious irritable bowel syndrome. Aliment Pharmacol Ther. 2007 Aug 15;26(4):535-44. doi: 10.1111/j.1365-2036.2007.03399.x.

Reference Type BACKGROUND
PMID: 17661757 (View on PubMed)

Spiller R. Is it diverticular disease or is it irritable bowel syndrome? Dig Dis. 2012;30(1):64-9. doi: 10.1159/000335721. Epub 2012 May 3.

Reference Type BACKGROUND
PMID: 22572688 (View on PubMed)

Related Links

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http://www.romecriteria.org/

Official web site of Rome Foundation. The definition of IBS and questionnaire was adopted from that web site.

Other Identifiers

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4-2013-0326

Identifier Type: -

Identifier Source: org_study_id