Role of Colonoscopy in Diagnosing Organic Diseases in Patients With Colonic Symptoms Compatible With Rome Iv Criteria

Ali, Ali Ibrahim; Ibrahim, Al-Sayed Mohammed; Farrag, Galal Abd-Elhamid Abo; Ali, Abdelrahman

doi:10.21608/amj.2019.56681

Cited by 1 publication

(4 citation statements)

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“…Similarly, in a study (13) aligning with the present study, demographic characteristics, including age, gender, BMI, and lifestyle factors, did not significantly differ between their identified groups. In a cross-sectional study (5) with two groups meeting Rome IV criteria for IBS; the authors found no significant demographic distinctions between their participants with and without alarm features.…”

Section: Discussionmentioning

confidence: 87%

“…Interestingly, a study revealed that microscopic colitis was the predominant organic disease among studied patients; 4/11 patients (36.4%). Three patients had colorectal cancer (27.3%), two patients had ulcerative colitis (18% of organic lesions detected), patient with solitary rectal ulcer (9.1%) and patient had Crohn's disease (9.1%) (5).…”

Section: Discussionmentioning

confidence: 99%

“…Patient fasted for 16-24 hours (water and fiber free juices were allowed), patients underwent 3 enemas using hypertonic solution of sodium phosphates the day before the procedure. Pentax colonoscopes (Pentax Canada, Inc.) were used for colonoscopy (5).…”

Section: Managementmentioning

confidence: 99%

“…For IBS-C patients, colorectal cancer is a common concern; Case control study found that patients with chronic constipation have a significantly higher prevalence and incidence of colorectal cancer and benign colorectal neoplasm (5).…”

Section: Introductionmentioning

confidence: 99%

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Colonoscopic Findings in Patients Fulfilling ROME IV Criteria of Irritable Bowel Syndrome with or without Recently Discovered Alarming Features

Elfeky,

Abd Rabh,

Fouad

et al. 2024

Benha Medical Journal

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Background: Irritable bowel syndrome (IBS) is a common gastrointestinal disorder characterized by recurrent abdominal pain and altered bowel habits. Identifying organic diseases in patients with IBS is crucial, especially when alarming features are present. This study aimed to assess colonoscopic findings in patients fulfilling ROME IV Criteria of Irritable Bowel Syndrome with or without Recently Discovered alarming features. Methods: This cross-sectional study was conducted on sixty consecutive patients with IBS who fulfilled the Rome IV criteria. The patients were divided into two groups: Group A (IBS without alarming features) and Group B (IBS with alarming features). Detailed history, clinical examination, laboratory investigations in the form of complete blood count and full colonoscopy with biopsy were performed. The colonoscopic and histopathological findings were analyzed to determine the presence of organic diseases. Results: Group B exhibited significantly higher occurrences of bleeding per rectum, weight loss, and pallor compared to Group A. Colonoscopic findings revealed a higher prevalence of adenomatous polyps in Group B, whereas Group A showed higher rates of normal findings and lymphocytic colitis. Age above 50 years may have association with organic colonic diseases. Conclusion: Absence of alarming features cannot exclude organic colonic diseases in IBS patients, influencing clinical management.

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Section: Discussionmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Section: Managementmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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