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单一医疗中心对肠易激综合征退伍军人的临床表现及检查:病例系列

Examining Clinical Presentation and Workup of Veterans with Irritable Bowel Syndrome in a Single Medical Centre: A Case Series.

作者信息

Claassen P L, Hinojosa T, Rai A, Riddle M S

机构信息

Washington State University Elson S Floyd College of Medicine.

VA Sierra Nevada Health Care System.

出版信息

J Mil Veterans Health. 2022 Nov 4;30(4):22-26.

PMID:36712814
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9881231/
Abstract

Irritable bowel syndrome (IBS) is a disorder of gut-brain interaction (DGBI) that affects about 10% of the adult population in the United States. IBS pathoetiology understanding has evolved and clinical management improved despite the underdevelopment of diagnostics. Within the Veterans Affairs (VA) system, the prevalence and impact of DGBIs are high. Yet there is a paucity of information on the patient demographic features. Our team examined the history and workup of patients referred to an IBS clinic within the VA's gastroenterology service through a systematic case series study to begin a quality improvement initiative.

摘要

肠易激综合征(IBS)是一种肠-脑交互障碍(DGBI),在美国约10%的成年人口中受其影响。尽管诊断方法尚不完善,但对IBS病理病因的认识已有所发展,临床管理也有所改善。在退伍军人事务部(VA)系统中,DGBIs的患病率和影响都很高。然而,关于患者人口统计学特征的信息却很少。我们的团队通过一项系统的病例系列研究,检查了转诊至VA胃肠病科服务的IBS诊所的患者的病史和检查情况,以启动一项质量改进计划。

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本文引用的文献

1
Multiple Chronic Conditions Among Veterans and Nonveterans: United States, 2015-2018.2015 - 2018年美国退伍军人和非退伍军人中的多种慢性病情况
Natl Health Stat Report. 2021 Feb(153):1-13.
2
ACG Clinical Guideline: Management of Irritable Bowel Syndrome.ACG 临床指南:肠易激综合征的管理。
Am J Gastroenterol. 2021 Jan 1;116(1):17-44. doi: 10.14309/ajg.0000000000001036.
3
Empirical Evaluation of Veterans' Perceived Non-Concordance with Providers Regarding Medically Unexplained Symptoms.退伍军人在医学无法解释的症状方面与医疗服务提供者感知到的不一致性的实证评估。
Couns Psychol. 2019 Jul 1;47(5):770-795. doi: 10.1177/0011000019890317.
4
Irritable Bowel Syndrome Subtypes: New Names for Old Medical Conditions.肠易激综合征亚型:旧疾新名。
Dig Dis. 2020;38(2):122-127. doi: 10.1159/000505287. Epub 2019 Dec 18.
5
Health Status of Female and Male Gulf War and Gulf Era Veterans: A Population-Based Study.女性和男性海湾战争和海湾时代退伍军人的健康状况:一项基于人群的研究。
Womens Health Issues. 2019 Jun 25;29 Suppl 1:S39-S46. doi: 10.1016/j.whi.2019.04.003.
6
Irritable bowel syndrome: the clinical approach.肠易激综合征:临床方法。
Panminerva Med. 2018 Dec;60(4):213-222. doi: 10.23736/S0031-0808.18.03541-3. Epub 2018 Sep 24.
7
What Is New in Rome IV.罗马IV中有哪些新内容。
J Neurogastroenterol Motil. 2017 Apr 30;23(2):151-163. doi: 10.5056/jnm16214.
8
Screening for Celiac Disease in Irritable Bowel Syndrome: An Updated Systematic Review and Meta-analysis.肠易激综合征患者中乳糜泻的筛查:一项更新的系统评价和荟萃分析。
Am J Gastroenterol. 2017 Jan;112(1):65-76. doi: 10.1038/ajg.2016.466. Epub 2016 Oct 18.
9
Validity and reliability of the Bristol Stool Form Scale in healthy adults and patients with diarrhoea-predominant irritable bowel syndrome.布里斯托大便性状量表在健康成年人及腹泻型肠易激综合征患者中的效度和信度
Aliment Pharmacol Ther. 2016 Oct;44(7):693-703. doi: 10.1111/apt.13746. Epub 2016 Aug 5.
10
The irritable bowel severity scoring system: a simple method of monitoring irritable bowel syndrome and its progress.肠易激综合征严重程度评分系统:一种监测肠易激综合征及其进展的简单方法。
Aliment Pharmacol Ther. 1997 Apr;11(2):395-402. doi: 10.1046/j.1365-2036.1997.142318000.x.