Inflammatory bowel disease, irritable bowel syndrome, or what: a challenge to the functional-organic dichotomy.
Abstract
Many patients with inflammatory bowel disease (IBD) in clinical remission continue to have symptoms of pain and diarrhea despite minimal or no ongoing inflammation. These patients may be considered to have an overlap of IBD and irritable bowel syndrome (IBD-IBS). In this month's Journal, a proposal is made that continued symptoms in patients with elevated calprotectin, a marker of inflammation, is related to IBD. We propose an alternate biopsychosocial model whereby mutual effects of peripheral and central factors influence symptom generation in both IBD and IBS. Understanding this model has important implications for treatment of patients with IBD-IBS.
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Given the prevalence of irritable bowel syndrome, it is unlikely that inflammatory bowel disease patients are protected from irritable bowel syndrome.
“Given this prevalence, it is unlikely that IBD patients are protected from IBS.2”
From Tricyclic Antidepressants for Management of Residual Symptoms in Inflammatory Bowel Disease (2014) · cites this paper as [2]
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Mon cerveau et mon intestin communiquent, parfois mal !
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- Authors
- Long, M. D., & Drossman, D. A.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Corresponding author
- Drossman, Douglas A
- Venue
- American Journal of Gastroenterology
- Published
- 2010-08
- Volume
- 105
- Issue
- 8
- Pages
- 1796-1798
- ISSN
- 0002-9270 (ISSN-L)
- OpenAlex
- W47476788
- Cited by
- 101
- References
- 22
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 2 · 2023: 1 · 2022: 6 · 2021: 7 · 2020: 6 · 2019: 10 · 2018: 8 · 2017: 9 · 2016: 7 · 2015: 7 · 2014: 8 · 2013: 8 · 2012: 9
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The American Journal of Gastroenterology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Inflammatory Bowel Disease
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Health Sciences › Medicine › Epidemiology › Microscopic Colitis
- Keywords
- inflammatory bowel disease, irritable bowel syndrome, calprotectin, biopsychosocial model, chronic pain, diarrhea, clinical remission, symptom generation
- MeSH terms
- Colitis, Ulcerative, Crohn Disease, Diagnosis, Differential, Feces, Humans, Quality of Life, Risk Factors, Stress, Psychological, Biomarkers, Cytokines, Leukocyte L1 Antigen Complex, Irritable Bowel Syndrome
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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