TAILIEUCHUNG - Irritable bowel syndrome: A global perspective

Document presentation of content: Introduction, diagnosis of IBS, evaluation of IBS, management of IBS, IBS subclassification, global prevalence and incidence, other observations on IBS epidemiology, psychological assessment, physical examination. | World Gastroenterology Organisation Global Guideline Irritable bowel syndrome a global perspective April 20 2009 Review team Prof. Eamonn Quigley Chairman Ireland Prof. Michael Fried Switzerland Prof. . Gwee Singapore Prof. C. Olano Uruguay Prof. F. Guarner Spain Prof. I. Khalif Russia Prof. P. Hungin United Kingdom Prof. G. Lindberg Sweden Prof. Z. Abbas Pakistan Prof. L. Bustos Fernandez Argentina Prof. F. Mearin Spain Prof. . Bhatia India Prof. . Hu China Prof. M. Schmulson Mexico Dr. . Krabshuis France Dr. . Le Mair The Netherlands Contents 1 Introduction 2 Diagnosis of IBS 3 Evaluation of IBS 4 Management of IBS WGO Practice Guideline Irritable bowel syndrome 2 1 Introduction Definition. Irritable bowel syndrome IBS is a functional bowel disorder in which abdominal pain or discomfort is associated with defecation or a change in bowel habit. Bloating distension and disordered defecation are commonly associated features. In some languages the words bloating and distension may be represented by the same term. Irritable bowel syndrome is a relapsing functional bowel disorder defined by symptom-based diagnostic criteria in the absence of detectable organic causes. The symptomatic array is not specific for IBS as such symptoms may be experienced occasionally by almost every individual. To distinguish IBS from transient gut symptoms experts have underscored the chronic and relapsing nature of IBS and have proposed diagnostic criteria based on the occurrence rate of symptoms see the section on diagnosis below . Some characteristics of IBS are It is not known to be associated with an increased risk for the development of cancer or inflammatory bowel disease or with increased mortality. It generates significant direct and indirect health-care costs. No pathophysiological substrate has been demonstrated in IBS. A transition of IBS to and overlap with other symptomatic gastrointestinal disorders . gastroesophageal reflux disease dyspepsia and functional

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• A global perspective
• Irritable bowel syndrome
• IBS subclassification
• Global prevalence and incidence
• Other observations on IBS epidemiology
• Psychological assessment
• Physical examination
• Advancing public diplomacy from a global citizenship perspective
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• Symptomatic approach
• Diet and supplements
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• Acute diarrhea in adults and children
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