1995
DOI: 10.1159/000201225
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Diagnostic Procedures in Irritable Bowel Syndrome

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Cited by 13 publications
(5 citation statements)
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“…IBS is often characterised by some combination of: (a) abdominal pain, (b) altered bowel functioning, constipation, or diarrhoea, (c) hypersécrétion of colonie mucous, and (d) dyspeptic symptoms (such as flatulence or nausea) (Lehrer, 2002). However, the symptomology associated with IBS is not confined to the intestinal tract, and secondary clinical symptoms may include upper oesophageal problems such as heartburn and gastric reflux (Coremans et al, 1995).…”
mentioning
confidence: 99%
“…IBS is often characterised by some combination of: (a) abdominal pain, (b) altered bowel functioning, constipation, or diarrhoea, (c) hypersécrétion of colonie mucous, and (d) dyspeptic symptoms (such as flatulence or nausea) (Lehrer, 2002). However, the symptomology associated with IBS is not confined to the intestinal tract, and secondary clinical symptoms may include upper oesophageal problems such as heartburn and gastric reflux (Coremans et al, 1995).…”
mentioning
confidence: 99%
“…It should be noted that the economic burden of irritable bowel syndrome is not limited to the USA. Even in countries in which a national health service provides care, the costs associated with irritable bowel syndrome are high 25 ,. 26 , 30 , 33 , 34 Although it is difficult to directly compare health care costs across national borders due to differences in economic structure and currency, the studies evaluated in this review consistently illustrate that the magnitude of direct health care resource consumption and productivity losses that are sustained internationally as a result of this disorder is similar.…”
Section: Discussionmentioning
confidence: 99%
“…Coremans et al . estimated the initial cost of diagnostic tests to the Italian National Health Service in the evaluation of patients with irritable bowel syndrome 25 . Providing a complete blood count with differential, erythrocyte sedimentation rate, faecal occult blood test, flexible sigmoidoscopy and lactose tolerance test would translate to US$55, equating to 0.093% of the Italian National Health Service budget.…”
Section: Direct Resource Consumptionmentioning
confidence: 99%
“…The optimal diagnostic exploration to exclude organic disease mimicking IBS is a matter of debate, but the diagnostic load in patients with diarrhea is probably higher [3]. Daily practice, and the results of clinical studies are not in favor of rectal biopsies in IBS [65].…”
Section: Are Rectal Biopsies Relevant In Ibs?mentioning
confidence: 99%
“…As a rule, IBS is diagnosed based on internationally accepted positive criteria and the exclusion of organic disease mimicking IBS tapered to the individual patient. The role of manometry and endoscopy with biopsy as part of the diagnosis remains a subject of intense debate [3]. The possible implications of these tests at the level of the most easily to reach colonic segment for daily clinical practice and future research were also taken in consideration.…”
Section: Introductionmentioning
confidence: 99%