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肠易激综合征:在儿童中罕见吗?

Irritable Bowel Syndrome: Is it Rare in Children?

作者信息

Rukunuzzaman M, Karim A B, Nurullah M, Mazumder M W, Sultana K, Hussain F, Sultana F

机构信息

Dr Md Rukunuzzaman, Associate Professor, Department of Pediatric Gastroenterology & Nutrition, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh.

出版信息

Mymensingh Med J. 2018 Jan;27(1):216-221.

PMID:29459618
Abstract

Irritable bowel syndrome (IBS) is one of the most common and best studied disorders among the group of functional gastrointestinal disorders. It is a functional bowel disorder in which abdominal pain or discomfort is associated with defecation or a change in bowel habit. Visceral hypersensitivity and increased GIT motility are the main patho-physiological mechanism for developing IBS. IBS present with diarrhea and constipation or both. Investigation is least needed for diagnosis of IBS rather done to exclude differential diagnosis. Diagnosis is done on the basis of Rome-III criteria. Proper counseling, dietary management, anti-spasmotic and antidepressant are the mainstay of treatment.

摘要

肠易激综合征(IBS)是功能性胃肠疾病中最常见且研究最多的疾病之一。它是一种功能性肠道疾病,其中腹痛或不适与排便或排便习惯改变有关。内脏超敏反应和胃肠道动力增加是IBS发生的主要病理生理机制。IBS表现为腹泻、便秘或两者兼有。IBS诊断所需的检查最少,主要是为了排除鉴别诊断。诊断依据罗马III标准进行。适当的咨询、饮食管理、抗痉挛药和抗抑郁药是治疗的主要手段。

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