[Efficacy oh the Rome criteria II in diagnosis of irritable bowel syndrome].Ter Arkh 2004; 76(4):51-4TA
To study efficacy of the Rome criteria II in diagnosis of irritable bowel syndrome (IBS).
MATERIAL AND METHODS
The examination was made of 288 consecutive patients with an IBS diagnosis admitted to the hospital from January to December 2002.
The IBS diagnosis was confirmed in the specialized hospital in 74 (25.8%) of 288 patients admitted with this diagnosis. Of 61 patients, whose diagnosis met the Rome criteria, the IBS diagnosis was not confirmed in 7 patients (11.4%).
Out of 288 patients admitted to a gastroenterological hospital, 78.8% patients were diagnosed at the prehospital stage not basing on the Rome criteria and appeared erroneous in 70.1%. The analysis of the anxiety causes identified different intestinal diseases in 78.5% cases, the diagnosis of IBS was confirmed in the rest cases. Specificity of the Rome criteria II was 88.6%, sensitivity 82.4%. This provides a reliable diagnosis of IBS.