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Irritable bowel syndrome: pathogenesis and management

W G Thompson1

  • 1Division of Gastroenterology A1, Ottawa Civic Hospital, Ontario, Canada.

Lancet (London, England)
|June 19, 1993
PubMed
Summary

Irritable bowel syndrome (IBS) is now distinct from other functional bowel disorders using the Rome criteria. This classification aids understanding and treatment of gastrointestinal disorders due to symptom-based diagnosis.

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Area of Science:

  • Gastroenterology
  • Functional Gastrointestinal Disorders

Background:

  • Irritable bowel syndrome (IBS) is a common functional gastrointestinal disorder.
  • Previous classifications lacked clear distinctions between IBS and other functional bowel disorders.

Purpose of the Study:

  • To define irritable bowel syndrome (IBS) as distinct from other functional bowel disorders.
  • To introduce the Rome criteria for IBS diagnosis and classification.

Main Methods:

  • An international working team convened to establish diagnostic criteria.
  • Symptom-based criteria, known as the Rome criteria, were developed for IBS.

Main Results:

  • Irritable bowel syndrome (IBS) is now recognized as a distinct entity.
  • The Rome criteria provide a standardized method for classifying functional bowel disorders.

Conclusions:

  • The Rome nosology represents a significant advancement in understanding functional gastrointestinal disorders.
  • Distinguishing IBS and related conditions is crucial for identifying different causes and guiding targeted treatments.

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