Division of Gastroenterology, Mayo Clinic, Jacksonville, Florida, USA.
Rev Esp Enferm Dig. 2011 Nov;103(11):570-5. doi: 10.4321/s1130-01082011001100003.
irritable bowel syndrome (IBS) is a common and complex disorder. Though it is estimated that IBS constitutes an important part of the gastroenterology (GI) practice, the burden of this problem in the GI outpatients clinics in Spain is unclear.
the aim of this study is to obtain a "shot" of the burden and management of this syndrome in the daily GI practice.
508 general gastroenterologists from all over the country were approached and asked to complete a survey that included questions about their daily practice and the definition, diagnosis and treatment of IBS.
55% of the surveyed physicians estimate that IBS constitute between a quarter and a half of all their consultations; and pointed out that most of these patients were referred from primary care. Overall, the Spanish gastroenterologists show an adequate knowledge of the different diagnostic criteria, though they do not always follow the current guidelines. Up to 55% of the physicians always perform a complementary test to support their diagnosis and 40% order a diagnostic test only in older patients (> 50 years) or in presence of alarm symptoms. Interestingly, 80% of the gastroenterologists start empirical treatment based on the patients' symptoms.
though Spanish gastroenterologists seem to have an adequate theoretical knowledge of the disease, they do not systematically follow current guidelines and tend to manage IBS symptoms based on their own criteria.
肠易激综合征（IBS）是一种常见且复杂的疾病。尽管据估计 IBS 构成了胃肠病学（GI）实践的重要组成部分，但在西班牙的 GI 门诊诊所中，这一问题的负担尚不清楚。
本研究旨在了解该综合征在日常 GI 实践中的负担和管理情况。
对全国各地的 508 名普通胃肠病学家进行了调查，并要求他们完成一项调查，其中包括有关其日常实践以及 IBS 的定义、诊断和治疗的问题。
55%的调查医生估计 IBS 占他们所有咨询的四分之一到一半；并指出，这些患者大多是从初级保健转介而来。总的来说，西班牙的胃肠病学家对不同的诊断标准有足够的了解，但他们并不总是遵循现行指南。多达 55%的医生总是进行补充检查以支持他们的诊断，而 40%仅在老年患者（>50 岁）或出现警报症状时才进行诊断性检查。有趣的是，80%的胃肠病学家根据患者的症状开始进行经验性治疗。
尽管西班牙的胃肠病学家对该疾病似乎有足够的理论知识，但他们并没有系统地遵循现行指南，并且倾向于根据自己的标准来管理 IBS 症状。
