The DOI matches its Crossref record; 30 of the 30 references it cites were found in a registry or an index.
Durability of the Diagnosis of Irritable Bowel Syndrome Based on Clinical Criteria
Abstract
Our purpose was to evaluate the durability of the diagnosis of irritable bowel syndrome (IBS) based on clinical criteria. The study population consisted of a cohort of previously published study patients evaluated for IBS between 1989 and 1992, who met the International Congress of Gastroenterology criteria for IBS. Patients were reinterviewed for cardinal features of IBS, Rome I, Rome II, and Manning criteria 10-13 years after the initial diagnosis. During the observational follow-up period, there were 75 patients, 14 males and 61 females, with a mean age of 47.5 +/- 11.3 years (SD; range, 20 to 75 years). Mean time of reinterview after initial diagnosis was 11.8 +/- 0.9 years (range, 10 to 13 years). None of the 75 patients had an abdominal condition which could have been mistaken for IBS. Other abdominal conditions diagnosed during this period included diverticulitis (five), uterine fibromyoma (three), and gallbladder disease (three). Sixty-nine patients (92%) did not consider their symptoms as resolved. Thirty-five (46.7%) had repeat structural evaluation of the colon for similar symptoms without any new diagnoses made. Twenty-six (34.7%) and 32 (42.7%) presently meet the Rome II and Rome I criteria for IBS, respectively. Clinicians are advised to use clinical criteria for a specific and durable diagnosis of IBS.
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In the citing paper
“Nevertheless, it is important to stress that in most patients a diagnosis of IBS is secure, 111 and further repeated investigations have a low yield.268”
From British Society of Gastroenterology guidelines on the management of irritable bowel syndrome (2021) · cites this paper as [268]
In the citing paper
“Once a clinical diagnosis of IBS is made, it is unlikely to be revised, even during extended follow-up. 67”
From Irritable bowel syndrome (2020) · cites this paper as [67]
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Metadata
- Authors
- Adeniji, O. A., Barnett, C. B., & Di Palma, J. A.
- Affiliations
- University of South Alabama (US)
- Venue
- Digestive Diseases and Sciences
- Published
- 2004-04
- Volume
- 49
- Issue
- 4
- Pages
- 572-574
- ISSN
- 0163-2116 (ISSN-L)
- 1573-2568
- OpenAlex
- W2026809795
- Cited by
- 37
- References
- 30
- Citations by year
- 2025: 1 · 2023: 1 · 2022: 1 · 2021: 1 · 2020: 2 · 2019: 1 · 2018: 1 · 2017: 1 · 2016: 1 · 2015: 2 · 2013: 3 · 2012: 1
- FWCI
- 2.07
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springernature.com/gp/researchers/text-and-data-mining (tdm)
- www.springernature.com/gp/researchers/text-and-data-mining (vor)
- Locations
- Digestive Diseases and Sciences (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Health and Development
- Health Sciences › Medicine › Gastroenterology › Microscopic Colitis
- Keywords
- irritable bowel syndrome, Rome criteria, Manning criteria, long-term follow-up, symptom persistence, diagnosis
- MeSH terms
- Adult, Aged, Biopsy, Needle, Constipation, Diarrhea, Female, Humans, Male, Middle Aged, Predictive Value of Tests, Quality of Life, Surveys and Questionnaires, Sensitivity and Specificity, Severity of Illness Index, Cohort Studies, Endoscopy, Gastrointestinal, Disease Progression, Irritable Bowel Syndrome
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