Iacob Teodora, Ţăţulescu Doina F, Cijevschi Prelipcean Cristina, Dumitraşcu D L
Rev Med Chir Soc Med Nat Iasi. 2016 Jul-Sep;120(3):515-21.
After acute infectious gastroenteritis, up to thirty percent of patients present prolonged gastrointestinal symptoms and a part of those affected patients can have the diagnostic criteria for postinfectious irritable bowel syndrome. The main diagnosis of a patient with postinfectious irritable bowel syndrome was till this summer, clinically based on Roma III criteria. The Rome IV criteria brought some changes that involve also the post infectious irritable bowel syndrome, recognizing further the postinfectious IBS as a specific entity according to the multidimensional clinical chronic mucosal inflammation triggered by enteric infection, may underlie persistent bowel symptoms in patients who develop postinfectious irritable bowel syndrome.
急性感染性肠胃炎后，高达30%的患者会出现持续的胃肠道症状，部分受影响患者可能符合感染后肠易激综合征的诊断标准。直到今年夏天，感染后肠易激综合征患者的主要诊断仍基于罗马III标准进行临床判断。罗马IV标准带来了一些变化，其中也涉及感染后肠易激综合征，进一步认识到感染后肠易激综合征是一种特定的疾病实体，根据肠道感染引发的多维度临床慢性黏膜炎症，这可能是感染后肠易激综合征患者持续肠道症状的潜在原因。
