The prevalence of gastro-oesophageal reflux disease (GORD) in randomly selected, institutionalized, intellectually disabled individuals (lQ<50) in The Netherlands is high.
In this study we investigated the prevalence of GORD and reflux oesophagitis (RO) in intellectually disabled individuals specifically selected for symptoms such as : behavioural difficulties such as automutilation, food refusal, fear and restlessness, vomiting, regurgitation and rumination.
Predisposing factors were also evaluated.
One hundred and ten individuals from one institute underwent a 24-h oesophageal pH test and were scored for predisposing factors and non-specific reflux symptoms.
A pathological pH test was defined as a pH lower than 4 more than 4.5% of the measured time.
Subjects with a pathological pH test (patients) were compared to those with a normal pH test (controls).
In seven cases (6.4%) the test failed for technical reasons.
In 57 (55.3%) cases a pathological pH test was found.
The use of anticonvulsant drugs and cerebral palsy appeared to be predisposing factors, while the non-specific reflux symptoms did not discriminate for GORD.
The prevalence of GORD was equal in a randomly selected group of intellectually disabled individuals, and in this group, specifically selected on account of possible reflux symptoms. (...)
Mots-clés Pascal : Déficit, Intelligence, Association morbide, Reflux gastrooesophagien, Symptomatologie, Prévalence, Epidémiologie, Homme, Pays Bas, Europe, Psychopathologie, Appareil digestif pathologie, Oesophage pathologie
Mots-clés Pascal anglais : Deficiency, Intelligence, Concomitant disease, Gastroesophageal reflux, Symptomatology, Prevalence, Epidemiology, Human, Netherlands, Europe, Psychopathology, Digestive diseases, Esophageal disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0219814
Code Inist : 002B13A03. Création : 21/05/1997.