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DOAJ Open Access 2022

Diagnosis and Treatment of Irritable Bowel Syndrome: Clinical Recommendations of the Russian Gastroenterological Association and Association of Coloproctologists of Russia

V. T. Ivashkin I. V. Maev Yu. A. Shelygin E. K. Baranskaya S. S. Belous +29 lainnya
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Abstrak

Aim. Current clinical recommendations accentuate current methods for the diagnosis and treatment of irritable bowel syndrome (IBS).Key points. IBS is a functional bowel disorder manifested with recurrent, at least weekly, abdominal pain with the following attributes (any two leastwise): link to defecation, its frequency or stool shape. The symptoms are expected to persist for at minimum three months in a total six-month follow-up. Similar to other functional gastrointestinal (GI) disorders, IBS can be diagnosed basing on the patient symptoms compliance with Rome IV criteria, provided the absence of potentially symptom-causative organic GI diseases. Due to challenging differential diagnosis, IBS can be appropriately established per exclusionem, with pre-examination as follows: general and biochemical blood tests; tissue transglutaminase IgA/IgG antibody tests; thyroid hormones test; faecal occult blood test; hydrogen glucose/ lactulose breath test for bacterial overgrowth; stool test for enteric bacterial pathogens and Clostridium difficile A/B toxins; stool calprotectin test; abdominal ultrasound; OGDS, with biopsy as appropriate; colonoscopy with biopsy. The IBS sequence is typically wavelike, with alternating remissions and exacerbations often triggered by psychoemotional stress. Treatment of IBS patients includes dietary and lifestyle adjustments, various-class drug agents prescription and psychotherapeutic measures.Conclusion. Adherence to clinical recommendations can facilitate timely diagnosis and improve medical aid quality in patients with different clinical IBS variants.

Topik & Kata Kunci

Diseases of the digestive system. Gastroenterology

Penulis (34)

V

V. T. Ivashkin

I

I. V. Maev

Y

Yu. A. Shelygin

E

E. K. Baranskaya

S

S. S. Belous

E

E. A. Belousova

A

A. G. Beniashvili

S

S. V. Vasilyev

A

A. V. Veselov

E

E. G. Grigoryev

N

N. V. Kostenko

V

V. N. Kashnikov

V

V. F. Kulikovskiy

I

I. D. Loranskaya

O

O. S. Lyashenko

E

E. A. Poluektova

V

V. G. Rumyantsev

V

V. M. Timerbulatov

O

O. Yu. Fomenko

D

D. A. Khubezov

E

E. Yu. Chashkova

G

G. I. Chibisov

M

M. V. Shapina

A

A. A. Sheptulin

O

O. S. Shifrin

A

A. S. Trukhmanov

O

O. P. Alekseeva

S

S. A. Alekseenko

A

A. Yu. Baranovsky

O

O. Yu. Zolnikova

N

N. V. Korochanskaya

S

S. N. Mammayev

I

I. B. Khlynov

V

V. V. Tsukanov

Format Sitasi

APA MLA BibTeX
Ivashkin, V.T., Maev, I.V., Shelygin, Y.A., Baranskaya, E.K., Belous, S.S., Belousova, E.A. et al. (2022). Diagnosis and Treatment of Irritable Bowel Syndrome: Clinical Recommendations of the Russian Gastroenterological Association and Association of Coloproctologists of Russia. https://doi.org/10.22416/1382-4376-2021-31-5-74-95

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Tahun Terbit
2022
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DOAJ
DOI
10.22416/1382-4376-2021-31-5-74-95
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Open Access ✓