Academic Journal
Functional bowel disorders with diarrhoea: Clinical guidelines of the United European Gastroenterology and European Society for Neurogastroenterology and Motility
| العنوان: | Functional bowel disorders with diarrhoea: Clinical guidelines of the United European Gastroenterology and European Society for Neurogastroenterology and Motility |
|---|---|
| المؤلفون: | Savarino, Edoardo, Zingone, Fabiana, Barberio, Brigida, Marasco, Giovanni, Akyuz, Filiz, Akpinar, Hale, Barboi, Oana, Bodini, Giorgia, Bor, Serhat, Chiarioni, Giuseppe, Cristian, Gheorghe, Corsetti, Maura, Di Sabatino, Antonio, Dimitriu, Anca Mirela, Drug, Vasile, Dumitrascu, Dan L., Ford, Alexander C., Hauser, Goran, Nakov, Radislav, Patel, Nisha, Pohl, Daniel, Sfarti, Cătălin, Serra, Jordi, Simrén, Magnus, Suciu, Alina, Tack, Jan, Toruner, Murat, Walters, Julian, Cremon, Cesare, Barbara, Giovanni |
| المصدر: | https://onlinelibrary.wiley.com/doi/10.1002/ueg2.12259 ; United European Gastroenterology Journal ; Volume 10 ; Issue 6 ; ISSN 2050-6406 (Print) ; ISSN 2050-6414 (Online. |
| سنة النشر: | 2022 |
| المجموعة: | Repository of the University of Rijeka |
| مصطلحات موضوعية: | FDr, IBS-D, abdominal pain, clinical practice guidelines, diarrhea, functional bowel disorders, functional diarrhea, irritable bowel syndrome, BIOMEDICINA I ZDRAVSTVO. Kliničke medicinske znanosti. Interna medicina, BIOMEDICINE AND HEALTHCARE. Clinical Medical Sciences. Internal Medicine |
| الوصف: | Irritable bowel syndrome with diarrhoea (IBS-D) and functional diarrhoea (FDr) are the two major functional bowel disorders characterized by diarrhoea. In spite of their high prevalence, IBS-D and FDr are associated with major uncertainties, especially regarding their optimal diagnostic work-up and management. A Delphi consensus was performed with experts from 10 European countries who conducted a literature summary and voting process on 31 statements. Quality of evidence was evaluated using the grading of recommendations, assessment, development, and evaluation criteria. Consensus (defined as >80% agreement) was reached for all the statements. The panel agreed with the potential overlapping of IBS-D and FDr. In terms of diagnosis, the consensus supports a symptom-based approach also with the exclusion of alarm symptoms, recommending the evaluation of full blood count, C-reactive protein, serology for coeliac disease, and faecal calprotectin, and consideration of diagnosing bile acid diarrhoea. Colonoscopy with random biopsies in both the right and left colon is recommended in patients older than 50 years and in presence of alarm features. Regarding treatment, a strong consensus was achieved for the use of a diet low fermentable oligo-, di-, monosaccharides and polyols, gut-directed psychological therapies, rifaximin, loperamide, and eluxadoline. A weak or conditional recommendation was achieved for antispasmodics, probiotics, tryciclic antidepressants, bile acid sequestrants, 5-hydroxytryptamine-3 antagonists (i.e. alosetron, ondansetron, or ramosetron). A multinational group of European experts summarized the current state of consensus on the definition, diagnosis, and management of IBS-D and FDr. |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | English |
| Relation: | Sveučilište u Rijeci. Medicinski fakultet. Katedra za internu medicinu.; University of Rijeka. Faculty of Medicine. Department of Internal Medicine.; https://www.unirepository.svkri.uniri.hr/islandora/object/medri:6727; https://urn.nsk.hr/urn:nbn:hr:184:827638; https://www.unirepository.svkri.uniri.hr/islandora/object/medri:6727/datastream/FILE0 |
| الاتاحة: | https://www.unirepository.svkri.uniri.hr/islandora/object/medri:6727 https://urn.nsk.hr/urn:nbn:hr:184:827638 https://www.unirepository.svkri.uniri.hr/islandora/object/medri:6727/datastream/FILE0 |
| Rights: | info:eu-repo/semantics/openAccess ; http://creativecommons.org/licenses/by-nc-nd/4.0/ |
| رقم الانضمام: | edsbas.599564DD |
| قاعدة البيانات: | BASE |
| الوصف غير متاح. |