Tags

Type your tag names separated by a space and hit enter

Functional bowel disorders.
Gastroenterology 2006; 130(5):1480-91G

Abstract

Employing a consensus approach, our working team critically considered the available evidence and multinational expert criticism, revised the Rome II diagnostic criteria for the functional bowel disorders, and updated diagnosis and treatment recommendations. Diagnosis of a functional bowel disorder (FBD) requires characteristic symptoms during the last 3 months and onset > or =6 months ago. Alarm symptoms suggest the possibility of structural disease, but do not necessarily negate a diagnosis of an FBD. Irritable bowel syndrome (IBS), functional bloating, functional constipation, and functional diarrhea are best identified by symptom-based approaches. Subtyping of IBS is controversial, and we suggest it be based on stool form, which can be aided by use of the Bristol Stool Form Scale. Diagnostic testing should be guided by the patient's age, primary symptom characteristics, and other clinical and laboratory features. Treatment of FBDs is based on an individualized evaluation, explanation, and reassurance. Alterations in diet, drug treatment aimed at predominant symptoms, and psychotherapy may be beneficial.

Authors+Show Affiliations

Kaiser Permanente Medical Care Program, San Diego, California 92120, USA. George.F.Longstreth@kp.orgNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

16678561

Citation

Longstreth, George F., et al. "Functional Bowel Disorders." Gastroenterology, vol. 130, no. 5, 2006, pp. 1480-91.
Longstreth GF, Thompson WG, Chey WD, et al. Functional bowel disorders. Gastroenterology. 2006;130(5):1480-91.
Longstreth, G. F., Thompson, W. G., Chey, W. D., Houghton, L. A., Mearin, F., & Spiller, R. C. (2006). Functional bowel disorders. Gastroenterology, 130(5), pp. 1480-91.
Longstreth GF, et al. Functional Bowel Disorders. Gastroenterology. 2006;130(5):1480-91. PubMed PMID: 16678561.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Functional bowel disorders. AU - Longstreth,George F, AU - Thompson,W Grant, AU - Chey,William D, AU - Houghton,Lesley A, AU - Mearin,Fermin, AU - Spiller,Robin C, PY - 2005/01/31/received PY - 2005/11/03/accepted PY - 2006/5/9/pubmed PY - 2006/6/3/medline PY - 2006/5/9/entrez SP - 1480 EP - 91 JF - Gastroenterology JO - Gastroenterology VL - 130 IS - 5 N2 - Employing a consensus approach, our working team critically considered the available evidence and multinational expert criticism, revised the Rome II diagnostic criteria for the functional bowel disorders, and updated diagnosis and treatment recommendations. Diagnosis of a functional bowel disorder (FBD) requires characteristic symptoms during the last 3 months and onset > or =6 months ago. Alarm symptoms suggest the possibility of structural disease, but do not necessarily negate a diagnosis of an FBD. Irritable bowel syndrome (IBS), functional bloating, functional constipation, and functional diarrhea are best identified by symptom-based approaches. Subtyping of IBS is controversial, and we suggest it be based on stool form, which can be aided by use of the Bristol Stool Form Scale. Diagnostic testing should be guided by the patient's age, primary symptom characteristics, and other clinical and laboratory features. Treatment of FBDs is based on an individualized evaluation, explanation, and reassurance. Alterations in diet, drug treatment aimed at predominant symptoms, and psychotherapy may be beneficial. SN - 0016-5085 UR - https://www.unboundmedicine.com/medline/citation/16678561/full_citation L2 - https://linkinghub.elsevier.com/retrieve/pii/S0016-5085(06)00512-9 DB - PRIME DP - Unbound Medicine ER -