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  • Diagnostic Activity in Patiens With Suspected Irritable Bowel Syndrome Should Be Brief and Focussed

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    Ilta Nunik Ayuningtyas
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    Diagnostic activity in patiens with suspected irritable bowel syndrome should be brief and focussed.doc

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    4 views1 page

    Diagnostic Activity in Patiens With Suspected Irritable Bowel Syndrome Should Be Brief and Focussed

    Uploaded by

    Ilta Nunik Ayuningtyas

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Diagnostic activity in patiens with suspected irritable bowel syndrome should be brief and focussed,

    limited to investigations that are likely to exclude serious alternative diagnoses and when negative
    support a positive diagnosis of IBS. The diagnosis of IBS is clinical, and is robust over time, although
    other symptoms may add to the clinical picture and other symptoms of functional disorders are
    common. The most important differential diagnoses are celiac disease, colocteral carcinoma and
    colitis. Red flag symptoms and signs should be considerees indications for full colonoscopy, which
    should be performed with a low threshold in patients above 50 years of age. Serologic markers are
    useful to exclude celiac disease, but positive test must be confirmed with duodenal bipsies.

    The prevalence of irritable bowel syndrome is high in all populations/regions of the world in which
    epidemiological studies have been performed, which includes several European, North American, but
    also Asian and African countries. Prevalance rates in the order of 9 to 25 % are most often cited,
    always highest in women. Differences in cultural factor, including reporting of symptoms and health
    care seeking behabiour, extent of urbanisation and diet, are likely explain the modest

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