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Kruis scoring system and Manning's criteria in diagnosis of irritable bowel syndrome: is it better to use combined?
Acta Gastroenterol Belg 1996 Oct-Dec; 59(4):225-8AG

Abstract

Irritable bowel syndrome (IBS) is characterized by abdominal pain and alteration of bowel habits. Manning et al. have reported that certain symptoms distinguished IBS from organic gastrointestinal disease (OGD); these were pain relieved by defecation, looser or more frequent stools at the onset of pain, abdominal distention, mucus, and a feeling of incomplete evacuation. Another simple scoring system for discriminating IBS from OGD that incorporated historical data, physical examination findings, and basic investigations was first devised by Kruis et al. In differential diagnosis of IBS from OGD, to evaluate the reliability of Manning's criteria and Kruis scoring system when used apart or combined; we studied 347 out-patients who completed a bowel disease questionnaire which objectively measured Manning's criteria and scoring system of Kruis. The group included 165 patients with IBS and 182 patients with OGD. The Manning's criteria discriminated IBS from OGD with a sensitivity of 90% and a specificity of 87% if three or more items were regarded as positive. Also the Kruis scoring system discriminated IBS from OGD with a sensitivity of 81% and a specificity of 91%. When used together, these systems discriminated IBS from OGD with a sensitivity of 80% and a specificity of 97%. Manning's criteria and Kruis scoring system had a strong correlation when compared in IBS, but not in OGD.

Authors+Show Affiliations

Department of Gastroenterology, Gazi University, Faculty of Medicine, Türkiye.No affiliation info available

Pub Type(s)

Clinical Trial
Comparative Study
Journal Article

Language

eng

PubMed ID

9085621

Citation

Doğan, U B., and S Unal. "Kruis Scoring System and Manning's Criteria in Diagnosis of Irritable Bowel Syndrome: Is It Better to Use Combined?" Acta Gastro-enterologica Belgica, vol. 59, no. 4, 1996, pp. 225-8.
Doğan UB, Unal S. Kruis scoring system and Manning's criteria in diagnosis of irritable bowel syndrome: is it better to use combined? Acta Gastroenterol Belg. 1996;59(4):225-8.
Doğan, U. B., & Unal, S. (1996). Kruis scoring system and Manning's criteria in diagnosis of irritable bowel syndrome: is it better to use combined? Acta Gastro-enterologica Belgica, 59(4), pp. 225-8.
Doğan UB, Unal S. Kruis Scoring System and Manning's Criteria in Diagnosis of Irritable Bowel Syndrome: Is It Better to Use Combined. Acta Gastroenterol Belg. 1996;59(4):225-8. PubMed PMID: 9085621.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Kruis scoring system and Manning's criteria in diagnosis of irritable bowel syndrome: is it better to use combined? AU - Doğan,U B, AU - Unal,S, PY - 1996/10/1/pubmed PY - 1996/10/1/medline PY - 1996/10/1/entrez SP - 225 EP - 8 JF - Acta gastro-enterologica Belgica JO - Acta Gastroenterol. Belg. VL - 59 IS - 4 N2 - Irritable bowel syndrome (IBS) is characterized by abdominal pain and alteration of bowel habits. Manning et al. have reported that certain symptoms distinguished IBS from organic gastrointestinal disease (OGD); these were pain relieved by defecation, looser or more frequent stools at the onset of pain, abdominal distention, mucus, and a feeling of incomplete evacuation. Another simple scoring system for discriminating IBS from OGD that incorporated historical data, physical examination findings, and basic investigations was first devised by Kruis et al. In differential diagnosis of IBS from OGD, to evaluate the reliability of Manning's criteria and Kruis scoring system when used apart or combined; we studied 347 out-patients who completed a bowel disease questionnaire which objectively measured Manning's criteria and scoring system of Kruis. The group included 165 patients with IBS and 182 patients with OGD. The Manning's criteria discriminated IBS from OGD with a sensitivity of 90% and a specificity of 87% if three or more items were regarded as positive. Also the Kruis scoring system discriminated IBS from OGD with a sensitivity of 81% and a specificity of 91%. When used together, these systems discriminated IBS from OGD with a sensitivity of 80% and a specificity of 97%. Manning's criteria and Kruis scoring system had a strong correlation when compared in IBS, but not in OGD. SN - 1784-3227 UR - https://www.unboundmedicine.com/medline/citation/9085621/Kruis_scoring_system_and_Manning's_criteria_in_diagnosis_of_irritable_bowel_syndrome:_is_it_better_to_use_combined L2 - http://www.diseaseinfosearch.org/result/3876 DB - PRIME DP - Unbound Medicine ER -