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[肠易激综合征]

[Irritable Bowel Syndrome].

作者信息

Kim Jae Hak, Jee Sam Ryong

机构信息

Department of Internal Medicine, Dongguk University College of Medicine, Goyang, Korea.

Department of Internal Medicine, Inje University College of Medicine, Busan, Korea.

出版信息

Korean J Gastroenterol. 2019 Feb 25;73(2):84-91. doi: 10.4166/kjg.2019.73.2.84.

Abstract

Irritable bowel syndrome (IBS) is a common functional gastrointestinal disorder. Its diagnosis is based on symptoms, and the Rome IV criteria are recognized as the gold diagnostic standard. The Korean Society of Neurogastroenterology and Motility (KSNM) recently updated their clinical practice guidelines for the treatment of IBS, which were last issued in 2011. In this updated edition, the KSNM defines IBS as a chronic, recurrent symptom complex that includes abdominal pain or discomfort, changes in bowel habits, and bloating for at least 6 months, which is somewhat broader than the previous definition. Four major topics have been changed in the up-dated version in-line with the results of recent studies, that is, colonoscopy; a diet low in fermentable oligosaccharides, disaccharides, monosaccharides, and polyols; probiotics; and rifaximin. Herein, we review the 2017 revised edition of the KSNM with respect to recommended clinical practice guidelines for IBS and compare these with other guidelines.

摘要

肠易激综合征(IBS)是一种常见的功能性胃肠疾病。其诊断基于症状,罗马IV标准被公认为黄金诊断标准。韩国神经胃肠病学与动力学会(KSNM)最近更新了其IBS治疗临床实践指南,该指南上次发布于2011年。在这个更新版本中,KSNM将IBS定义为一种慢性、复发性症状复合体,包括腹痛或不适、排便习惯改变和腹胀,持续至少6个月,这一定义比之前的定义范围稍广。更新版本根据近期研究结果对四个主要主题进行了修改,即结肠镜检查;低发酵性寡糖、双糖、单糖和多元醇饮食;益生菌;以及利福昔明。在此,我们就KSNM 2017年修订版中关于IBS的推荐临床实践指南进行综述,并将其与其他指南进行比较。

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