Review of the Clinical Practice Guidelines for Irritable Bowel Syndrome in Korea, 2017 Revised Edition

Hye-Kyung Jung

doi:10.4166/kjg.2018.72.5.252

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Jung: Review of the Clinical Practice Guidelines for Irritable Bowel Syndrome in Korea, 2017 Revised Edition

Brief Summary of Practice Guideline

The Korean Journal of Gastroenterology 2018; 72(5): 252-257.

Published online: 28 November 2018

DOI: https://doi.org/10.4166/kjg.2018.72.5.252

Review of the Clinical Practice Guidelines for Irritable Bowel Syndrome in Korea, 2017 Revised Edition

Hye-Kyung Jung

Department of Internal Medicine, College of Medicine, Ewha Womans University, Seoul, Korea.

Correspondence to: Hye-Kyung Jung, Department of Internal Medicine, College of Medicine, Ewha Womans University, 1071 Anyangcheon-ro, Yangcheon-gu, Seoul 07985, Korea. Tel: +82-2-2650-2874, Fax: +82-2-2655-2874, junghk@ewha.ac.kr

Received 1 October 2018 Revised 23 October 2018 Accepted 3 November 2018

Korean Society of Gastroenterology

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

This guidance is an updated version of the irritable bowel syndrome (IBS) guidelines based on evidence-based medicine. IBS is a common chronic gastrointestinal syndrome that occurs in approximately 10% of the population and causes chronic abdominal pain as well as bowel habit changes, such as stool frequency or consistency. The final diagnosis of IBS is based on the exclusion of organic diseases that would explain the symptoms and the absence of endoscopic abnormalities. IBS can reduce the quality of life and cause a major disease burden, such as repeated examinations and continuous drug use, by mistaking organic diseases including malignancy. The major changes are as follows: 1) when to perform a colonoscopy under the impression of IBS; 2) effect of a low-fermentable oligosaccharides, disaccharides, monosaccharides, and polyol diet; 3) impact of probiotics in IBS; and 4) role of antibiotics in IBS. The Korean Society of Neurogastroenterology and Motility recently updated these guidelines to support physicians for qualified medical services and reduce the socioeconomic burden of IBS.

Keywords: Evidence-based practice, Irritable bowel syndrome, Practice guideline

Figures and Tables

Table 1

Level of Evidence and Grade of Recommendation

RCT, randomized controlled trial.

Table 2

Common Food Sources of High FODMAPs

FODMAP, fermentable oligosaccharides, disaccharides, monosaccharides, and polyols; FOS, fructooligosaccharides.

Table 3

Summary of Antispasmodics for the Treatment of Irritable Bowel Syndrome

IBS, irritable bowel syndrome.

Table 4

Summary of Antidepressants for the Treatment of Irritable Bowel Syndrome

TCA, tricyclic antidepressant; SSRI, selective serotonin reuptake inhibitor.

Notes

^{Financial support} None.

^{Conflict of interest} None.

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ORCID iDs: Hye-Kyung Jung
https://orcid.org/0000-0002-6653-5214
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