期刊
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY
卷 8, 期 2, 页码 129-132出版社
ELSEVIER SCIENCE INC
DOI: 10.1016/j.cgh.2009.10.009
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资金
- NIDDK NIH HHS [RC1 DK086182, R01 DK079866, R01 DK079866-01A2, R01 DK054681, RC1 DK086182-01, R01 DK054681-08] Funding Source: Medline
Some claim that symptom-based Rome criteria are diagnostic and enhance clinical practice and choice of therapy for patients presenting with gastrointestinal symptoms. This overview focuses on lower gastrointestinal symptoms: constipation, diarrhea, pain, and bloating. The main con arguments for using such criteria for diagnosis are insufficient specificity, overlap of symptom-based categories or disorders, insufficient and therefore nonspecific characterization of pain in the criteria, inability to differentiate the mimics of irritable bowel syndrome (IBS) with constipation (IBS-C) and IBS with diarrhea (IBS-D), and inability to optimize treatment for IBS with mixed or alternating bowel function (IBS-M) or bloating in the absence of objective measurements.
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