刺激性肠综合征有什么新鲜事?
Hebat Y Kamal1, Kayla Morneault-Gill, Christina B Chadwick
1Division of Pediatric Gastroenterology, Hepatology, and Nutrition, University of Florida College of Medicine, Gainesville, Florida, USA.
Current opinion in pediatrics
|August 4, 2023
概括
儿科刺激性肠综合征 (IBS) 是儿童腹痛的常见原因之一. 本综述总结了当前的诊断标准和多方面的治疗策略,以改善受影响儿童的生活质量.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 功能性胃肠道疾病 功能性胃肠道疾病
背景情况:
- 刺激性肠综合征 (IBS) 是儿童普遍存在的功能性胃肠疾病,经常成为腹痛的主要原因.
- 这种疾病会对儿童的生活质量产生重大影响,因为它具有使人虚弱的性质,并且在实现持续缓解症状方面存在挑战.
- 了解儿科IBS的各种触发因素和病理生理学对于有效的管理至关重要.
研究的目的:
- 巩固儿科刺激性肠综合征 (IBS) 的最新诊断标准.
- 审查当前和新兴的儿科IBS治疗方式.
- 探索近期关于儿科IBS风险因素,病理生理学和以生活质量为重点的治疗方法的研究.
主要方法:
- 本综述综合了最近的研究和临床指南中的信息.
- 它评估了有关儿童IBS风险因素,潜在机制和治疗干预措施的研究.
- 重点是旨在改善IBS儿童生活质量的治疗方法.
主要成果:
- 全球范围内正在调查多种药物和非药物治疗方案.
- 需要进行更大规模的,经过良好的控制的研究来验证儿科IBS新兴治疗方法的疗效.
- 目前的管理层强调个性化,多方面的方法,以个别触发器为特色.
结论:
- 儿科IBS需要个性化的管理策略.
- 治疗计划可能包括饮食修改,益生菌,药物治疗和心理治疗.
- 进一步的研究对于建立最终的治疗方案和改善患者的治疗结果至关重要.
相关概念视频
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
189
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
189
Irritable Bowel Syndrome I: Introduction
313
Irritable Bowel Syndrome (IBS) is characterized by functional disturbances in the gastrointestinal system, presenting a cluster of symptoms without evident structural or biochemical abnormalities. It primarily affects the large intestine and may cause abdominal pain, bloating, excessive gas, diarrhea, constipation, or both.
IBS is a chronic condition that can persist over a long period or recur frequently.
The pathogenesis of IBS involves a complex interplay of the following factors:
Altered...
IBS is a chronic condition that can persist over a long period or recur frequently.
The pathogenesis of IBS involves a complex interplay of the following factors:
Altered...
313
Irritable Bowel Syndrome III: Medical and Nursing Management
240
Managing Irritable Bowel Syndrome (IBS) involves a multifaceted approach, including lifestyle modifications, dietary changes, and medication.
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Drugs for Treatment of Diarrhea-Predominant IBS
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Diarrhea-predominant irritable bowel syndrome (IBS-D) is a subtype of IBS characterized primarily by frequent, loose, or watery stools, abdominal pain, and abdominal discomfort. Therapeutic approaches to managing IBS-D include dietary changes, stress management techniques, and pharmaceutical interventions.
Two specific drugs used in the treatment are alosetron (Lotronex) and eluxadoline (Viberzi). Alosetron, a 5-HT3 antagonist, works by slowing the movement of stools in the gut, reducing bowel...
Two specific drugs used in the treatment are alosetron (Lotronex) and eluxadoline (Viberzi). Alosetron, a 5-HT3 antagonist, works by slowing the movement of stools in the gut, reducing bowel...
213
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
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Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
355
Chronic Bowel Disorders: Introduction
485
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
485


