电邮这篇文章 Efficacy of the Rome criteria II in diagnosis of irritable bowel syndrome
- 作者: Parfenov AI1, Ruchkina IN1, Orobei Y.A1, Bykova SV1
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隶属关系:
- ЦНИИ гастроэнтерологии
- 期: 卷 79, 编号 4 (2004)
- 页面: 51-54
- 栏目: Editorial
- URL: https://journals.rcsi.science/0040-3660/article/view/29825
- ID: 29825
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Aim. To study efficacy of the Rome criteria II in diagnosis of irritable bowel syndrome (IBS). Material and methods. The examination was made of 288 consecutive patients with an IBS diagnosis admitted to the hospital from January to December 2002.
Results. The IBS diagnosis was confirmed in the specialized hospital in 74 (25.8%) of 288 patients admitted with this diagnosis. Of 61 patients, whose diagnosis met the Rome criteria, the IBS diagnosis was not confirmed in 7patients (11.4%).
Conclusion. Out of 288 patients admitted to a gastroenterological hospital, 78.8% patients were diagnosed at the prehospital stage not basing on the Rome criteria and appeared erroneous in 70.1%. The analysis of the anxiety causes identified different intestinal diseases in 78.5% cases, the diagnosis of IBS was confirmed in the rest cases. Specificity of the Rome criteria II was 88.6%, sensitivity 82.4%. This provides a reliable diagnosis of IBS.
Results. The IBS diagnosis was confirmed in the specialized hospital in 74 (25.8%) of 288 patients admitted with this diagnosis. Of 61 patients, whose diagnosis met the Rome criteria, the IBS diagnosis was not confirmed in 7patients (11.4%).
Conclusion. Out of 288 patients admitted to a gastroenterological hospital, 78.8% patients were diagnosed at the prehospital stage not basing on the Rome criteria and appeared erroneous in 70.1%. The analysis of the anxiety causes identified different intestinal diseases in 78.5% cases, the diagnosis of IBS was confirmed in the rest cases. Specificity of the Rome criteria II was 88.6%, sensitivity 82.4%. This provides a reliable diagnosis of IBS.
作者简介
A Parfenov
ЦНИИ гастроэнтерологииМосква; ЦНИИ гастроэнтерологии
I Ruchkina
ЦНИИ гастроэнтерологииМосква; ЦНИИ гастроэнтерологии
Yu Orobei
ЦНИИ гастроэнтерологииМосква; ЦНИИ гастроэнтерологии
S Bykova
ЦНИИ гастроэнтерологииМосква; ЦНИИ гастроэнтерологии
参考
- Talley N. J., Linsmeester А. К., Melton L. J. et al. Epidemiology of colonic symptoms and the irritable bowel syndrome. Gastroenterology 1991; 101: 927-934.
- Парфенов А. И., Ручкина И. Н. Распространенность хронических заболеваний толстой кишки среди рабочих и служащих промышленного предприятия. Рос. журн. гастроэнтерол., гепатол., колопроктол. 1993; 2 (3): 58-62.
- Thompson W. G., Longstreth G. F., Drossman D. A. et al. Functional bowel disorders and functional abdominal pain. Rome II: A multinational consensus document on functional gastrointestinal disorders. Gut 1999; 45: 1143-1148.
- Vanner S. J., Depew W. Т., Paterson W. G. et al. Predictive value of the Rome criteria for diagnosing the irritable bowel syndrome. Am. J. Gastroenterol. 1999; 94: 2912-2917.
- Chey W. D., Olden K., Carter E. et al. Utility of the Rome I and Rome IT criteria for irritable bowel syndrome in U. S. women. Am. J. Gastroenterol. 2003; 97: 2803-2811.
- Drossman D. A., Thompson W. G. Irritable bowel syndrome: A graduated, multicomponent treatment approach. Ann. Intern. Med. 1992; 116: 3-17.
- Парфенов А. И. Энтерология: Глава 33: Синдром раздраженного кишечника. М.: Триада-Х; 2002. 556-572.
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