Cited by 49Gastrointestinal motility and disordersInfant Health and DevelopmentPelvic floor disorders treatments

Management of Irritable Bowel Syndrome

Open access
TORII, Akira, TODA, Gotaro·2004·Internal Medicine

Abstract

Irritable bowel syndrome (IBS) is one of the most common functional gastrointestinal disorders. The prevalence rate is 10-20% and women have a higher prevalence. IBS adversely affects quality of life and is associated with health care use and costs. IBS comprises a group of functional bowel disorders in which abdominal discomfort or pain is associated with defecation or a change in bowel habit, and with features of disordered defecation. The consensus definition and criteria for IBS have been formalized in the "Rome II criteria". Food, psychiatric disorders, and gastroenteritis are risk factors for developing IBS. The mechanism in IBS involves biopsychosocial disorders; psychosocial factors, altered motility, and heightened sensory function. Brain-gut interaction is the most important in understanding the pathophysiology of IBS. Effective management requires an effective physician-patient relationship. Dietary treatment, lifestyle therapy, behavioral therapy, and pharmacologic therapy play a major role in treating IBS. Calcium polycarbophil can benefit IBS patients with constipation or alternating diarrhea and constipation.

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Authors
TORII, A., & TODA, G.
Affiliations
Jikei University School of Medicine (JP)
Venue
Internal Medicine
Published
2004
Volume
43
Issue
5
Pages
353-359
ISSN
  • 0918-2918 (ISSN-L)
  • 1349-7235
OpenAlex
W1998382533
Cited by
49
References
50
Citations by year
2023: 2 · 2021: 1 · 2020: 1 · 2017: 1 · 2016: 1 · 2015: 2 · 2014: 3 · 2013: 4 · 2012: 4
FWCI
3.66
Type
journal article
Language
en
Open access
Locations
  • Internal Medicine (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
  • Health Sciences › Health Professions › Pharmacy › Infant Health and Development
  • Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
Keywords
irritable bowel syndrome, functional gastrointestinal disorders, Rome II criteria, IBS pathophysiology, brain-gut interaction, psychosocial factors, sensory hypersensitivity, dietary therapy, lifestyle therapy, behavior therapy, pharmacotherapy, constipation, physician-patient relationship
MeSH terms
Adolescent, Adult, Behavior Therapy, Combined Modality Therapy, Diet, Female, Humans, Japan, Life Style, Male, Middle Aged, Prognosis, Quality of Life, Steroids, Incidence, Treatment Outcome, Age Distribution, Sex Distribution, Sickness Impact Profile, Risk Assessment, Irritable Bowel Syndrome

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