Journal List > Korean J Gastroenterol > v.72(5) > 1108291

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

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.

Figures and Tables

Table 1

Level of Evidence and Grade of Recommendation

kjg-72-252-i001

RCT, randomized controlled trial.

Table 2

Common Food Sources of High FODMAPs

kjg-72-252-i002

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

Table 3

Summary of Antispasmodics for the Treatment of Irritable Bowel Syndrome

kjg-72-252-i003

IBS, irritable bowel syndrome.

Table 4

Summary of Antidepressants for the Treatment of Irritable Bowel Syndrome

kjg-72-252-i004

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

Notes

Financial support None.

Conflict of interest None.

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

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