Chalubinski K, Brunner H
II. Universitätsklinik für Gastroenterologie und Hepatologie, Wien.
Wien Klin Wochenschr. 1987 Dec 4;99(23):819-24.
The diagnostic score of Kruis to diagnose the irritable bowel syndrome (IBS) has recently gained widespread application. We therefore evaluated the case histories of 373 patients attending the gastroenterological outpatient department retrospectively using the questionnaire of these authors. In contrast to Kruis et al's findings, by applying their discriminating score the diagnosis of irritable bowel syndrome was made in only 51% of the patients who underwent complete gastrointestinal survey without pathological findings. However, the group of IBS was significantly separable from malignant or inflammatory disease. We therefore conclude that the diagnosis of IBS should only be made by ruling out organic disease (except in the case of young people with normal physical and laboratory check up findings and a good response to treatment). For these patients we simplified the questionnaire, omitting calculations.
克鲁伊斯用于诊断肠易激综合征（IBS）的诊断评分最近得到了广泛应用。因此，我们使用这些作者的问卷对373名胃肠病门诊患者的病历进行了回顾性评估。与克鲁伊斯等人的研究结果相反，应用他们的鉴别评分，在接受了全面胃肠道检查且无病理结果的患者中，只有51%被诊断为肠易激综合征。然而，肠易激综合征组与恶性或炎症性疾病有明显区别。因此，我们得出结论，肠易激综合征的诊断应仅通过排除器质性疾病来进行（除非是身体和实验室检查结果正常且对治疗反应良好的年轻人）。对于这些患者，我们简化了问卷，省略了计算。
