Pogromov A P, Tashchyan O V, Mnatsakanyan M G, Dyukova G M
Klin Med (Mosk). 2010;94(10):795-800.
To analyze current publications devoted to controversial issues of pathogenesis, diagnosis and differential diagnosis of irritable bowel syndrome (IBS) and inflammatory bowel disease (IBD) in remission with IBS-like symptoms.
There are three main hypotheses discussed in the literature: 1) IBS as a prodrome, pre-stage of the IBD; 2) IBS and IBD are different variants of inflammatory disorder which is common to both diseases; 3) The onset of IBS-like symptoms in IBD patients in remission.
It is shown that modern literature data on this issue is contradictory and ambiguous.
分析当前致力于研究肠易激综合征(IBS)与炎症性肠病(IBD)缓解期出现IBS样症状的发病机制、诊断及鉴别诊断等争议问题的出版物。
文献中讨论了三种主要假说:1)IBS作为IBD的前驱期、前期阶段;2)IBS和IBD是两种疾病共有的炎症性疾病的不同变体;3)IBD缓解期患者出现IBS样症状。
结果表明,关于这一问题的现代文献数据相互矛盾且含糊不清。