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Colegio de Medicina Interna de México.
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2005, Number 3

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Med Int Mex 2005; 21 (3)

Irritable bowel diagnosis

Camacho SD, Romero J, Urbina JL, Peña CM, Coyoli O, Contreras O, Velásquez R
Full text How to cite this article

Language: Spanish
References: 9
Page: 169-170
PDF size: 38.57 Kb.


Key words:

irritable bowel, diagnosis.

ABSTRACT

Background: Irritable bowel syndrome is considered to be a functional disorder. It consists of chronic and recurrent gastrointestinal symptoms, without infectious, structural or metabolic changes.
Objective: To determine the frequency of syndromes, as well as to corroborate reliable data among its clinical, pathological and psychiatric disorders.
Patients and methods: Forty-eight patients were selected by the gastroenterology service, according to Manning and Rome II opinions. All patients underwent total colonoscopy. During this study the proctologist decided whether to take the colon biopsy or not. All patients were remitted to the department of psychiatry. The whole processes took place in the internal medicine service.
Results: From the 48 patients, 38 were women and 10 men. Forty endoscopies confirmed the diagnosis, three were normal and five showed diverticular disease. From endoscopic studies, 6.25% were normal, 10.4% had diverticular disease, and only 83.3% corresponded to the diagnosis. From psychiatric studies, six were normal (12.5%), six showed depression (12.5%), and two presented schizophrenia (4.1%).
Conclusions: Patients with irritable bowel syndrome’s symptoms should be under observation in order to avoid erroneous diagnosis and treatments.


REFERENCES

  1. Manning AP, Thompson WG, Heaton KW, et al. Towards positive diagnosis of the irritable bowel. BMJ 1978;2:653-4.

  2. Thompson WG, Dotevall G, Drossman KW, et al. Irritable bowel syndrome: guidelines for the diagnosis. Gastroenterol Int 1989;2:92-95.

  3. Thompson WG, Creed F, Drossman DA, et al. Functional bowel disorders and functional abdominal pain. Gastroenterol Int 1992;5:75-91.

  4. Freixines J. Regards sur l‘histoire du intestine irritable. Gastroenterol Clin Biol 1990;14:SC-BC.

  5. Heaton KW. Epidemiology of irritable bowel syndrome. Eur J Gastroenterol Hepatol 1994;6:465-9.

  6. Thompson WG, Heaton KW. Functional bowel disorders in apparently healthy people. Gastroenterology 1980;79:283-8.

  7. Kay L, Jorgensen T, Jensen KH. The epidemiology of irritable bowel syndrome in a random population: prevalence, incidence, natural history and risk failure factors. J Intern Med 1994;236:23-30.

  8. Jones R, Lideard S. Irritable bowel syndrome in the general population BMJ 1992;304;87-90.

  9. Talley NJ, Zinsmeister AR, Van Dyke, et al. Epidemiology of colonic symptoms and the irritable bowel syndrome. Gastroenterology 1991;101(4):927-34.




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Med Int Mex. 2005;21