Diagnosis and Treatment of Irritable Bowel Syndrome: Clinical Recommendations of the Russian Gastroenterological Association and Association of Coloproctologists of Russia
Aim. Current clinical recommendations accentuate current methods for the diagnosis and treatment of irritable bowel syndrome (IBS).Key points. IBS is a functional bowel disorder manifested with recurrent, at least weekly, abdominal pain with the following attributes (any two leastwise): link to defe...
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| Format: | Article |
| Language: | Russian |
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Gastro LLC
2022-01-01
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| Series: | Российский журнал гастроэнтерологии, гепатологии, колопроктологии |
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| Online Access: | https://www.gastro-j.ru/jour/article/view/643 |
| _version_ | 1797245165818085376 |
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| author | V. T. Ivashkin I. V. Maev Yu. A. Shelygin E. K. Baranskaya S. S. Belous E. A. Belousova A. G. Beniashvili S. V. Vasilyev A. V. Veselov E. G. Grigoryev N. V. Kostenko V. N. Kashnikov V. F. Kulikovskiy I. D. Loranskaya O. S. Lyashenko E. A. Poluektova V. G. Rumyantsev V. M. Timerbulatov O. Yu. Fomenko D. A. Khubezov E. Yu. Chashkova G. I. Chibisov M. V. Shapina A. A. Sheptulin O. S. Shifrin A. S. Trukhmanov O. P. Alekseeva S. A. Alekseenko A. Yu. Baranovsky O. Yu. Zolnikova N. V. Korochanskaya S. N. Mammayev I. B. Khlynov V. V. Tsukanov |
| author_facet | V. T. Ivashkin I. V. Maev Yu. A. Shelygin E. K. Baranskaya S. S. Belous E. A. Belousova A. G. Beniashvili S. V. Vasilyev A. V. Veselov E. G. Grigoryev N. V. Kostenko V. N. Kashnikov V. F. Kulikovskiy I. D. Loranskaya O. S. Lyashenko E. A. Poluektova V. G. Rumyantsev V. M. Timerbulatov O. Yu. Fomenko D. A. Khubezov E. Yu. Chashkova G. I. Chibisov M. V. Shapina A. A. Sheptulin O. S. Shifrin A. S. Trukhmanov O. P. Alekseeva S. A. Alekseenko A. Yu. Baranovsky O. Yu. Zolnikova N. V. Korochanskaya S. N. Mammayev I. B. Khlynov V. V. Tsukanov |
| author_sort | V. T. Ivashkin |
| collection | DOAJ |
| description | Aim. Current clinical recommendations accentuate current methods for the diagnosis and treatment of irritable bowel syndrome (IBS).Key points. IBS is a functional bowel disorder manifested with recurrent, at least weekly, abdominal pain with the following attributes (any two leastwise): link to defecation, its frequency or stool shape. The symptoms are expected to persist for at minimum three months in a total six-month follow-up. Similar to other functional gastrointestinal (GI) disorders, IBS can be diagnosed basing on the patient symptoms compliance with Rome IV criteria, provided the absence of potentially symptom-causative organic GI diseases. Due to challenging differential diagnosis, IBS can be appropriately established per exclusionem, with pre-examination as follows: general and biochemical blood tests; tissue transglutaminase IgA/IgG antibody tests; thyroid hormones test; faecal occult blood test; hydrogen glucose/ lactulose breath test for bacterial overgrowth; stool test for enteric bacterial pathogens and Clostridium difficile A/B toxins; stool calprotectin test; abdominal ultrasound; OGDS, with biopsy as appropriate; colonoscopy with biopsy. The IBS sequence is typically wavelike, with alternating remissions and exacerbations often triggered by psychoemotional stress. Treatment of IBS patients includes dietary and lifestyle adjustments, various-class drug agents prescription and psychotherapeutic measures.Conclusion. Adherence to clinical recommendations can facilitate timely diagnosis and improve medical aid quality in patients with different clinical IBS variants. |
| first_indexed | 2024-03-08T09:20:37Z |
| format | Article |
| id | doaj.art-030ee14fec6f4a7ea68f1f334c304c3b |
| institution | Directory Open Access Journal |
| issn | 1382-4376 2658-6673 |
| language | Russian |
| last_indexed | 2024-04-24T19:22:34Z |
| publishDate | 2022-01-01 |
| publisher | Gastro LLC |
| record_format | Article |
| series | Российский журнал гастроэнтерологии, гепатологии, колопроктологии |
| spelling | doaj.art-030ee14fec6f4a7ea68f1f334c304c3b2024-03-25T16:53:09ZrusGastro LLCРоссийский журнал гастроэнтерологии, гепатологии, колопроктологии1382-43762658-66732022-01-01315749510.22416/1382-4376-2021-31-5-74-95441Diagnosis and Treatment of Irritable Bowel Syndrome: Clinical Recommendations of the Russian Gastroenterological Association and Association of Coloproctologists of RussiaV. T. Ivashkin0I. V. Maev1Yu. A. Shelygin2E. K. Baranskaya3S. S. Belous4E. A. Belousova5A. G. Beniashvili6S. V. Vasilyev7A. V. Veselov8E. G. Grigoryev9N. V. Kostenko10V. N. Kashnikov11V. F. Kulikovskiy12I. D. Loranskaya13O. S. Lyashenko14E. A. Poluektova15V. G. Rumyantsev16V. M. Timerbulatov17O. Yu. Fomenko18D. A. Khubezov19E. Yu. Chashkova20G. I. Chibisov21M. V. Shapina22A. A. Sheptulin23O. S. Shifrin24A. S. Trukhmanov25O. P. Alekseeva26S. A. Alekseenko27A. Yu. Baranovsky28O. Yu. Zolnikova29N. V. Korochanskaya30S. N. Mammayev31I. B. Khlynov32V. V. Tsukanov33Sechenov First Moscow State Medical University (Sechenov University)Yevdokimov Moscow State University of Medicine and DentistryRyzhikh National Medical Research Centre for ColoproctologySechenov First Moscow State Medical University (Sechenov University)Ryzhikh National Medical Research Centre for ColoproctologyVladimirsky Moscow Regional Research and Clinical InstituteMental Health Research CentrePavlov First Saint-Petersburg State Medical UniversityRyzhikh National Medical Research Centre for ColoproctologyIrkutsk Scientific Centre of Surgery and TraumatologyAstrakhan State Medical UniversityRyzhikh National Medical Research Centre for ColoproctologyBelgorod National Research University Medical InstituteRussian Medical Academy of Continuous Professional EducationSechenov First Moscow State Medical University (Sechenov University)Sechenov First Moscow State Medical University (Sechenov University)On-Clinic LLCBashkir State Medical UniversityRyzhikh National Medical Research Centre for ColoproctologyRyazan State Medical University named after Acad. I.P. PavlovIrkutsk Scientific Centre of Surgery and TraumatologyKaluga Regional Clinical HospitalRyzhikh National Medical Research Centre for ColoproctologySechenov First Moscow State Medical University (Sechenov University)Sechenov First Moscow State Medical University (Sechenov University)Sechenov First Moscow State Medical University (Sechenov University)Privolzhsky Research Medical UniversityFar-Eastern State Medical UniversitySaint-Petersburg State UniversitySechenov First Moscow State Medical University (Sechenov University)Kuban State Medical UniversityDagestan State Medical UniversityUral State Medical UniversityResearch Institute for Medical Problems in the North — Division of Krasnoyarsk Scientific Centre of the Siberian Branch of the RASAim. Current clinical recommendations accentuate current methods for the diagnosis and treatment of irritable bowel syndrome (IBS).Key points. IBS is a functional bowel disorder manifested with recurrent, at least weekly, abdominal pain with the following attributes (any two leastwise): link to defecation, its frequency or stool shape. The symptoms are expected to persist for at minimum three months in a total six-month follow-up. Similar to other functional gastrointestinal (GI) disorders, IBS can be diagnosed basing on the patient symptoms compliance with Rome IV criteria, provided the absence of potentially symptom-causative organic GI diseases. Due to challenging differential diagnosis, IBS can be appropriately established per exclusionem, with pre-examination as follows: general and biochemical blood tests; tissue transglutaminase IgA/IgG antibody tests; thyroid hormones test; faecal occult blood test; hydrogen glucose/ lactulose breath test for bacterial overgrowth; stool test for enteric bacterial pathogens and Clostridium difficile A/B toxins; stool calprotectin test; abdominal ultrasound; OGDS, with biopsy as appropriate; colonoscopy with biopsy. The IBS sequence is typically wavelike, with alternating remissions and exacerbations often triggered by psychoemotional stress. Treatment of IBS patients includes dietary and lifestyle adjustments, various-class drug agents prescription and psychotherapeutic measures.Conclusion. Adherence to clinical recommendations can facilitate timely diagnosis and improve medical aid quality in patients with different clinical IBS variants.https://www.gastro-j.ru/jour/article/view/643irritable bowel syndromediarrhoeaconstipation |
| spellingShingle | V. T. Ivashkin I. V. Maev Yu. A. Shelygin E. K. Baranskaya S. S. Belous E. A. Belousova A. G. Beniashvili S. V. Vasilyev A. V. Veselov E. G. Grigoryev N. V. Kostenko V. N. Kashnikov V. F. Kulikovskiy I. D. Loranskaya O. S. Lyashenko E. A. Poluektova V. G. Rumyantsev V. M. Timerbulatov O. Yu. Fomenko D. A. Khubezov E. Yu. Chashkova G. I. Chibisov M. V. Shapina A. A. Sheptulin O. S. Shifrin A. S. Trukhmanov O. P. Alekseeva S. A. Alekseenko A. Yu. Baranovsky O. Yu. Zolnikova N. V. Korochanskaya S. N. Mammayev I. B. Khlynov V. V. Tsukanov Diagnosis and Treatment of Irritable Bowel Syndrome: Clinical Recommendations of the Russian Gastroenterological Association and Association of Coloproctologists of Russia Российский журнал гастроэнтерологии, гепатологии, колопроктологии irritable bowel syndrome diarrhoea constipation |
| title | Diagnosis and Treatment of Irritable Bowel Syndrome: Clinical Recommendations of the Russian Gastroenterological Association and Association of Coloproctologists of Russia |
| title_full | Diagnosis and Treatment of Irritable Bowel Syndrome: Clinical Recommendations of the Russian Gastroenterological Association and Association of Coloproctologists of Russia |
| title_fullStr | Diagnosis and Treatment of Irritable Bowel Syndrome: Clinical Recommendations of the Russian Gastroenterological Association and Association of Coloproctologists of Russia |
| title_full_unstemmed | Diagnosis and Treatment of Irritable Bowel Syndrome: Clinical Recommendations of the Russian Gastroenterological Association and Association of Coloproctologists of Russia |
| title_short | Diagnosis and Treatment of Irritable Bowel Syndrome: Clinical Recommendations of the Russian Gastroenterological Association and Association of Coloproctologists of Russia |
| title_sort | diagnosis and treatment of irritable bowel syndrome clinical recommendations of the russian gastroenterological association and association of coloproctologists of russia |
| topic | irritable bowel syndrome diarrhoea constipation |
| url | https://www.gastro-j.ru/jour/article/view/643 |
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