从腹 (IBS-D) 的刺激性肠综合征中得到BS:让我们做一个诊断
Christine L Frissora1, Lawrence R Schiller2
1Division of Gastroenterology and Hepatology, The Weill Medical College of Cornell University, 1283 York Avenue, Floor 9, New York, NY, US, 10021. cfrissor@med.cornell.edu.
Current gastroenterology reports
|December 29, 2023
概括
仅仅基于症状来诊断易怒肠综合征与腹 (IBS-D),可能会错过潜在的原因. 识别特定的机制,如食物不耐受或微生物不平衡,可以导致更有效的IBS-D治疗.
科学领域:
- 胃肠病学 胃肠病学
- 内部医学 内部医学
背景情况:
- 刺激性肠综合征与腹 (IBS-D) 的特点是腹痛和松的便,没有警报特征.
- 目前IBS-D的诊断方法依赖于症状表现,可能会忽视潜在的病理.
研究的目的:
- 仅基于症状来评估IBS-D的"正确诊断"的临床实用性.
- 探索IBS-D症状的替代解释,超出传统诊断的范围.
主要方法:
- 对IBS-D.的临床观察和建议的病因机制的审查.
- 对模仿或引起IBS-D症状的常见和不太常见疾病的分析.
主要成果:
- 至少三分之二的IBS-D病例归因于食物不耐受 (30-40%),胆酸腹 (20-30%),或微生物菌群的干扰 (15-20%).
- 其他疾病,如乳病,微观结肠炎,乳腺细胞瘤和药物副作用,可能会出现与IBS相似的症状.
- 许多IBS-D病例具有可识别的潜在原因,可以指导有针对性的治疗策略.
结论:
- 仅仅依靠基于症状的IBS-D诊断可能不是最优的.
- 识别IBS-D的具体潜在原因,可以使治疗方法更有效,更有针对性.
相关概念视频
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