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Göteborgs universitets publikationer

Practical management of irritable bowel syndrome: a clinical review.

Författare och institution:
Ellinor Almquist (Institutionen för medicin, avdelningen för invärtesmedicin och klinisk nutrition); Hans Törnblom (Institutionen för medicin, avdelningen för invärtesmedicin och klinisk nutrition & Centrum för personcentrerad vård vid Göteborgs universitet (GPCC)); Magnus Simrén (Institutionen för medicin, avdelningen för invärtesmedicin och klinisk nutrition & Centrum för personcentrerad vård vid Göteborgs universitet (GPCC))
Publicerad i:
Minerva gastroenterologica e dietologica, Epub ahead of print
Artikel, forskningsöversikt
Sammanfattning (abstract):
Irritable bowel syndrome is a functional gastrointestinal disorder, frequently managed by general practitioners and gastroenterologists. It is a complex condition, characterized by abdominal pain or discomfort associated with altered bowel habits, and it affects 11% of the population worldwide. It has a profound effect on quality of life for many patients and poses a substantial cost to society. Due to the complexity and diversity of IBS, diagnosis and treatment can be challenging. Common drawbacks in diagnosing and treating this disorder include unnecessary tests, failure to establish trust in the physician-patient relationship and difficulties in explaining the diagnosis. Research in recent years has however refined the diagnostic criteria and improved our ability to safely identify IBS with a limited number of investigations. A concise diagnostic evaluation, guided adequate information, prompt initiation of symptom-guided treatment and consistency in the patient-doctor relationship can help relieve the suffering experienced by patients with IBS. For patients with mild symptoms, reassurance, education, lifestyle changes and dietary advice are often sufficient. Patients with moderate to severe symptoms might need symptom modifying drugs, and psychological treatments such as CBT or hypnotherapy may be offered at this stage. For patients with severe and incapacitating symptoms, a multidisciplinary approach is recommended and psychotropic drugs are often used. This clinical review offers suggestions for a diagnostic approach as well as a treatment strategy, based on the current evidence on pathophysiology, diagnosis and treatment in IBS.
Ämne (baseras på Högskoleverkets indelning av forskningsämnen):
Klinisk medicin ->
Postens nummer:
Posten skapad:
2015-12-02 22:35
Posten ändrad:
2015-12-17 12:01

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