Irritable bowel syndrome other diagnostic studies: Difference between revisions
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==Other Diagnostic Studies== | ==Other Diagnostic Studies== | ||
* In young patients with symptoms of classic IBS, additional invasive investigations such as endoscopy are not required and increase patient dissatisfaction.<ref name="pmid23357491">{{cite journal |vauthors=Begtrup LM, Engsbro AL, Kjeldsen J, Larsen PV, Schaffalitzky de Muckadell O, Bytzer P, Jarbøl DE |title=A positive diagnostic strategy is noninferior to a strategy of exclusion for patients with irritable bowel syndrome |journal=Clin. Gastroenterol. Hepatol. |volume=11 |issue=8 |pages=956–62.e1 |year=2013 |pmid=23357491 |doi=10.1016/j.cgh.2012.12.038 |url=}}</ref> | |||
* Gastrointestinal endoscopy is done in difficult cases of IBS where history is unclear but the physical examination is suggestive of the diagnosis. | |||
* In young patients with symptoms of classic IBS, | |||
* 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 biopsies. | * 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 | * IBS patients with dyspepsia should undergo esophagogastroduodenoscopy. | ||
* Sigmoidoscopy is performed in patients in order to exclude melanosis coli due to laxative abuse and microinflammation. | * 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, Crohn's disease and celiac disease. | * Sigmoid colon biopsies and duodenal biopsies are required for exclusion of microscopic colitis, Crohn's disease, and celiac disease. | ||
==== Anorectal manometry ==== | ==== Anorectal manometry ==== | ||
Anorectal manometry rules out obstructive defecation (pelvic-floor dyssynergia). | Anorectal manometry rules out obstructive defecation (pelvic-floor dyssynergia). | ||
==References== | ==References== | ||
Revision as of 22:51, 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
- In young patients with symptoms of classic IBS, additional invasive investigations such as endoscopy are not required and increase patient dissatisfaction.[1]
- Gastrointestinal endoscopy is done in difficult cases of IBS where history is unclear but the 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, Crohn's disease, and celiac disease.
Anorectal manometry
Anorectal manometry rules out obstructive defecation (pelvic-floor dyssynergia).
References
- ↑ Begtrup LM, Engsbro AL, Kjeldsen J, Larsen PV, Schaffalitzky de Muckadell O, Bytzer P, Jarbøl DE (2013). "A positive diagnostic strategy is noninferior to a strategy of exclusion for patients with irritable bowel syndrome". Clin. Gastroenterol. Hepatol. 11 (8): 956–62.e1. doi:10.1016/j.cgh.2012.12.038. PMID 23357491.