Definition and classification of irritable bowel syndrome: Current consensus and controversies
Definition and classification of irritable bowel syndrome: Current consensus and controversies
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DOI：
10.1016/j.gtc.2005.02.011
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发表时间：
2005-06-01
影响因子：
3.7
通讯作者：
Longstreth, GF
中科院分区：
文献类型：
--
作者：
Longstreth, GF
关于肠易激综合征的分类存在共识和争议。最近的研究增加了对它的定义和分类的争议，甚至是它是功能的还是有机的，还有其他重要的语义问题。对诊断症状标准的共识是一个不断发展的过程，不同的估计患病率可能是由不同的标准和其他方法学因素造成的。曼宁和罗马II标准在实践中的使用并不一致，尤其是在初级保健中，但它们在流行病学和治疗研究中很重要。虽然初级保健患者在实践中占主导地位，但大多数研究都是在转诊患者身上进行的，招募方法和其他因素影响了结果的普遍性。
Both consensus and controversy exist regarding the taxonomy of irritable bowel syndrome. Recent research has increased controversy about its definition and classification, even whether it is functional or organic, and there are other important semantic issues. Consensus on the diagnostic symptom criteria is an evolving process, and varied estimated prevalence rates may be caused by varied criteria used and other methodological factors. The Manning and Rome II criteria are used inconsistently in practice, especially in primary care, but they have been important in research on epidemiology and therapy. Although primary care patients predominate in practice, most research has been conducted on referral patients, and recruitment methods and other factors influence the generalizability of the results.