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Published on: November 30, 2016
The Mexican consensus on irritable bowel syndrome.
R Carmona-Sánchez1, M E Icaza-Chávez2, M V Bielsa-Fernández3
1Práctica privada, San Luis Potosí, S.L.P., México.
This review updates Irritable Bowel Syndrome (IBS) guidelines with new evidence since 2009. It incorporates international research and Mexican studies on IBS epidemiology, diagnosis, and treatment.
Area of Science:
- Gastroenterology
- Clinical Practice Guidelines
Background:
- Significant advancements in understanding Irritable Bowel Syndrome (IBS) have occurred since the 2009 Mexican Association of Gastroenterology guidelines.
- New insights into IBS epidemiology, pathophysiology, diagnosis, and treatment necessitate an update.
Purpose of the Study:
- To provide a consensus review of current Irritable Bowel Syndrome (IBS) knowledge.
- To update the 2009 guidelines by integrating recent international scientific evidence, with a focus on Mexican research.
Main Methods:
- A comprehensive literature search of PubMed (2009-2015) and manual searches.
- Inclusion of English and Spanish articles, prioritizing high-level evidence like consensuses, guidelines, systematic reviews, and meta-analyses.
- Utilized the Delphi method for statement formulation and voting by 24 gastroenterologists, with evidence and recommendations graded using the GRADE system.
Main Results:
- Developed 48 statements updating information on Irritable Bowel Syndrome (IBS).
- Incorporated new data on the significance of exercise and diet, diagnostic approaches, and contemporary therapeutic options.
- Analyzed recent findings with rigorous scientific evaluation, reflecting advancements in the last five years.
Conclusions:
- Presents a consensus review of key Irritable Bowel Syndrome (IBS) research advancements.
- Updates and complements the 2009 guidelines based on current scientific evidence.
- Highlights the inclusion of multiple studies conducted within Mexico.
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