Giriş ve amaç: Bu çalışma Türkiye’de birinci başamak Sağlık kurumlari nda irritabl barsak sendromu (IBS) sikligini saptamak için yapilmıştır. Gereç ve yöntem: çalışma 2005 yılinda Türkiye’nin 32 farkli ilindeki birinci başamak Sağlık kurulusuna basvuran olgular arasından rastgele seçilen 7520 olguda anket yapilarak gerçekleştirilmiştir. Anket birinci başamakta çalisan hekimler tarafindan yapilmıştır. Hastalar başvurudaki ana yakinmalarina göre gastrointestinal sistem (GIS) ve GIS dışı olmak üzere iki guruba ayrıldıktan sonra, her iki gurup içinden rastgele seçilen 2203 olguya anket yapilarak birinci başamakta IBS prevalansi arastirilmi stir. IBS tanısı Roma-II kriterlerine göre konulmustur. Bulgular: Çali smaya katilan 7520 hastanın 2157’si (%31,5) GIS semptomları ile doktora başvururken, 5363’ü (%68,5) GIS dışı yakinmalar ile doktora basvurmustur. GIS yakinmalari ile basvuran 2157 hasta arasından rastgele seçilerek anket yapılan 1461 olgunun 598’inde (%41), GIS dışı yakinmalar ile basvuran 5363 olgu arasından rastgele anket yapılan 742 olgunun 141’inde (%19) IBS tanısı konulmustur. Sonuç: Bu çalışma ülkemizde fonksiyonel gastrointestinal hastalıkların sik görüldügünü ve hastalari n yakinmalarinin devami nedeni ile birinci başamak hekimlerine sik basvurduklarini ortaya koymaktadır.
Background/aim: The present study was done in order to determine the frequency of irritable bowel syndrome (IBS) in primary care centers of Turkey. Materials and methods: The study was carried out by applying questionnaire in a study population of 7520 patients who were randomly selected among those admitted to primary care centers in 32 different cities of Turkey in the year 2005. The questionnaire was applied by doctors working in the primary care centers. Patients were categorized in to two groups (gastrointestinal system (GIS) or non-GIS) depending on the main symptoms on admission. The prevalence of IBS in primary care centers was investigated by applying questionnaire to 2203 randomly selected patients from both of the groups. The diagnosis of IBS was based on the Rome- II criteria. Results: Among the 7520 patients participating in the study, 2157 (31.5%) were admitted with GIS symptoms and 5363 (41%) with non-GIS symptoms. Out of 2157 patients with GIS symptoms, questionnaire was performed in randomly selected 1461 patients and a diagnosis of IBS was reached in 598 (41%). Out of 5363 patients with non-GIS symptoms, questionnaire was performed in randomly selected 742 patients and a diagnosis of IBS was reached in 141 (19%). Conclusion: This study shows that functional GIS disorders are commonly seen in our country and the patients frequently admit to doctors in the primary care centers because of the persistence of their symptoms