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[肠易激综合征(IBS)及伴有IBS样疾病的炎症性肠病的发病机制与诊断中的争议性问题]

[Debatable aspects of pathogenesis and diagnostics of irritable bowel syndrome (IBS) and inflammatory bowel diseases with IBS-like diseases].

作者信息

Pogromov A P, Tashchyan O V, Mnatsakanyan M G, Dyukova G M

出版信息

Klin Med (Mosk). 2010;94(10):795-800.

Abstract

AIM OF REVIEW

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.

KEY POINTS

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.

CONCLUSION

It is shown that modern literature data on this issue is contradictory and ambiguous.

摘要

综述目的

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。

关键点

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。

结论

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。

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