Madisch A, Hotz J
Abt. für Gastroenterologie, Allgemeines Krankenhaus Celle.
MMW Fortschr Med. 2001 Sep 27;143(39):24-8.
Irritable bowel syndrome is characterised by constant or recurrent abdominal complaints over more than three months, in the absence of any pathological changes in the routinely employed examination procedures. The diagnosis is established on the basis of typical symptoms and specific exclusion of relevant differential diagnoses. The heart of the diagnostic evaluation comprises a limited routine laboratory investigation, and endoscopic exploration to exclude organic disease of the gastrointestinal tract. Diagnostic re-evaluation is necessary only when there is a change in the patient's symptoms. A psychosomatic diagnostic evaluation and, where necessary, psychotherapy is indicated in about 5% of the patients. For IBS, causal treatment is not available. Apart from symptomatic drug treatment, intensive counseling and regular interviews are of particular importance.
肠易激综合征的特点是持续或反复出现腹部不适超过三个月，且常规检查程序未发现任何病理变化。诊断基于典型症状并排除相关鉴别诊断来确立。诊断评估的核心包括有限的常规实验室检查和内镜检查以排除胃肠道器质性疾病。仅当患者症状发生变化时才需要进行诊断重新评估。约5%的患者需要进行心身诊断评估，必要时进行心理治疗。对于肠易激综合征，尚无因果治疗方法。除了对症药物治疗外，强化咨询和定期访谈尤为重要。
