Irritable bowel syndrome other diagnostic studies: Difference between revisions
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**[Finding 2] | **[Finding 2] | ||
**[Finding 3] | **[Finding 3] | ||
* In young patients with symptoms of classic IBS, endoscopy is not done. | |||
* Gastrointestinal endoscopy is done in difficult cases of IBS where history is unclear but physical examination is suggestive of the diagnosis. | * Gastrointestinal endoscopy is done in difficult cases of IBS where history is unclear but physical examination is suggestive of the diagnosis. | ||
* All IBS patients with alarm features must undergo '''endoscopic evaluation.''' | * All IBS patients with alarm features must undergo '''endoscopic evaluation.''' | ||
* Colonoscopy must be considered in patients aged more than 50 years as part of routine colon cancer screening. | * Colonoscopy must be considered in patients aged more than 50 years as part of routine colon cancer screening. | ||
* In IBS patients with persistent diarrhea of age >40 years, a colonoscopy should also be performed to rule out organic causes like IBD and perform | * In IBS patients with persistent diarrhea of age >40 years, a colonoscopy should also be performed to rule out organic causes like IBD and perform biopsies. | ||
* IBS patients with dyspepsia, should undergo esophagogastroduodenoscopy. | * IBS patients with dyspepsia, should undergo esophagogastroduodenoscopy. | ||
* Sigmoidoscopy is performed in patients in order to exclude melanosis coli due to laxative abuse and | * Sigmoidoscopy is performed in patients in order to exclude melanosis coli due to laxative abuse and microinflammation. | ||
* Sigmoid colon biopsies and duodenal biopsies are required for exclusion of microscopic colitis and celiac disease respectively. | |||
crohns, diagnosis of this disorder generally | crohns, diagnosis of this disorder generally | ||
| Line 94: | Line 39: | ||
flexible sigmoidoscopy with biopsies. | flexible sigmoidoscopy with biopsies. | ||
==References== | ==References== | ||
Revision as of 22:20, 7 November 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
There are no other diagnostic studies associated with [disease name].
OR
[Diagnostic study] may be helpful in the diagnosis of [disease name]. Findings suggestive of/diagnostic of [disease name] include [finding 1], [finding 2], and [finding 3].
OR
Other diagnostic studies for [disease name] include [diagnostic study 1], which demonstrates [finding 1], [finding 2], and [finding 3], and [diagnostic study 2], which demonstrates [finding 1], [finding 2], and [finding 3].
Other Diagnostic Studies
- There are no other diagnostic studies associated with [disease name].
- [Diagnostic study] may be helpful in the diagnosis of [disease name]. Findings suggestive of/diagnostic of [disease name] include:
- [Finding 1]
- [Finding 2]
- [Finding 3]
- In young patients with symptoms of classic IBS, endoscopy is not done.
- Gastrointestinal endoscopy is done in difficult cases of IBS where history is unclear but physical examination is suggestive of the diagnosis.
- All IBS patients with alarm features must undergo endoscopic evaluation.
- Colonoscopy must be considered in patients aged more than 50 years as part of routine colon cancer screening.
- In IBS patients with persistent diarrhea of age >40 years, a colonoscopy should also be performed to rule out organic causes like IBD and perform biopsies.
- IBS patients with dyspepsia, should undergo esophagogastroduodenoscopy.
- Sigmoidoscopy is performed in patients in order to exclude melanosis coli due to laxative abuse and microinflammation.
- Sigmoid colon biopsies and duodenal biopsies are required for exclusion of microscopic colitis and celiac disease respectively.
crohns, diagnosis of this disorder generally
cannot be made without radiological analysis of the
small bowel,
flexible sigmoidoscopy with biopsies.