相关实验视频
Updated: May 31, 2025

05:07
Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
525
针对刺激性肠综合征的慢性腹痛进行专业实验室测试
Michael Cymbal1, Arjun Chatterjee2, Patricia Ajayi-Fox3
1Department of Internal Medicine, Cleveland Clinic Foundation, Cleveland, OH, USA.
Scandinavian journal of gastroenterology
|January 24, 2025
概括
刺激性肠综合征 (IBS) 患者的先进实验室检测往往缺乏遵守指导方针,并且几乎没有诊断价值. 遵守罗马四号标准对于准确的诊断和经济有效的护理至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 临床诊断 临床诊断 临床诊断
- 卫生经济学 卫生经济学
背景情况:
- 刺激性肠综合征 (IBS) 是一种普遍的胃肠道疾病,由初级保健提供者和胃肠科医生管理.
- 在IBS中,通常不建议进行进一步的诊断测试,除非存在特定的红旗症状.
研究的目的:
- 评估对因IBS而导致的慢性腹痛患者先进血清检测的社会特定指南的遵守情况.
- 在IBS患者群体中评估这些先进测试的诊断准确性.
主要方法:
- 成年IBS患者 (2013-2018) 的回顾性横截面分析.
- 包括测试:C1酶抑制剂,MEFV基因,尿液基因,抗dsDNA和重金属查.
- 排除了先前存在相关疾病的患者;使用基于指导方针的适当度量表.
主要成果:
- 在26,732名IBS患者中,有143人接受了先进的测试,主要是由胃肠病学家 (85.3%) 订购的.
- 只有12.5%的测试符合指导标准,阳性测试率为2.1%.
- 不适当的测试成本为39007美元,总共为46 542美元.
结论:
- 遵守罗马四号标准对于有效的IBS管理至关重要.
- 在IBS患者中,先进的测试经常无法提高诊断准确度.
- 不必要的先进测试显著增加医疗保健支出,没有临床益处.
相关概念视频
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
314
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...
314
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
138
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:
138
Serum Laboratory Studies, Stool Test, Breath Test
310
Gastrointestinal (GI) diagnostic studies are pivotal in confirming, ruling out, diagnosing, or staging various diseases, including cancers. Following diagnosis, allocating time for discussions with the patient and providing informational resources is crucial. Diagnostic assessments of the GI tract often occur in outpatient settings like endoscopy suites or GI labs. Preparation for these tests may include dietary restrictions, fasting, liquid bowel preparations, laxatives, enemas, and the...
310
Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies
88
Peptic ulcer disease (PUD) presents with diverse symptoms depending on the location and severity of the ulcer. Clinical manifestations of peptic ulcer include dull pain and a burning sensation in the mid-epigastric region.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
88
Chronic Bowel Disorders: Introduction
386
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...
386
Irritable Bowel Syndrome I: Introduction
243
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...
243

