The neoplasm and inflammatory bowel disease in the patients with the preliminary diagnosis of irritable bowel syndrome
Journal Title: Gastroenterologia Polska - Year 2008, Vol 15, Issue 4
Abstract
Introduction: The family doctors often refer patients to the gastroenterology departments with a preliminary diagnosis of irritable bowel syndrome (IBS). However, some of the patients report also "alarm symptoms", which suggest a presence of the organic disease. Diagnostic procedures can lead to the change of the preliminary diagnosis in some cases. Aim of study: Our study was designed to evaluate the frequency of a neoplasm and inflammatory bowel disease (IBD) in patients with the preliminary diagnosis of IBS. Material and methods: Medical recordsof the 581 consecutive patients admitted inyears 2001-2008 to the Department of Gastroenterology and Hepatology of Wrocław Medical University with the preliminary diagnosis of IBS were reviewed.The group of the patients with the final diagnosis of neoplasm or IBD was selected. In the study group: age, gender, symptoms, the Rome III diagnostic criteria for the functional bowel disorders and diagnostic procedures were evaluated. Results:The neoplasm or IBD were finally diagnosed in 60 (10.3%) of the patients with the preliminary diagnosis of IBS. Among these patients 58.3% individuals met the Rome III diagnostic criteria for IBS. Conclusions: The knowledge of the Rome III criteria for IBS among family doctors is at insufficient level as we demonstrated lowagre-ement between the preliminary diagnosis of IBS and the diagnostic criteria. Moreover, patients who meet Rome III criteria and report alarm symptoms always require careful diagnostic to exclude the neoplasm or IBD.
Authors and Affiliations
Agnieszka Lewandowska, Katarzyna Neubauer, Leszek Paradowski
Keywords
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