Second Asian Consensus on Irritable Bowel Syndromeopen access
- Authors
- Gwee, Kok Ann; Gonlachanvit, Sutep; Ghoshal, Uday C.; Chua, Andrew S. B.; Miwa, Hiroto; Wu, Justin; Bak, Young Tae; Lee, Oh Youn; Lu, Ching-Liang; Park, Hyojin; Chen, Minhu; Syam, Ari F.; Abraham, Philip; Sollano, Jose; Chang, Chi-Sen; Suzuki, Hidekazu; Fang, Xiucai; Fukudo, Shin; Choi, Myung-Gyu; Hou, Xiaohua; Honge, Michio
- Issue Date
- Jul-2019
- Publisher
- KOREAN SOC NEUROGASTROENTEROLOGY & MOTILITY
- Keywords
- Asia; Constipation; Diarrhea; Intestines; Irritable bowel syndrome
- Citation
- JOURNAL OF NEUROGASTROENTEROLOGY AND MOTILITY, v.25, no.3, pp.343 - 362
- Indexed
- SCIE
SCOPUS
KCI
- Journal Title
- JOURNAL OF NEUROGASTROENTEROLOGY AND MOTILITY
- Volume
- 25
- Number
- 3
- Start Page
- 343
- End Page
- 362
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/13358
- DOI
- 10.5056/jnm19041
- ISSN
- 2093-0879
- Abstract
- Background/Aims
There has been major progress in our understanding of the irritable bowel syndrome (IBS), and novel treatment classes have emerged. The Rome IV guidelines were published in 2016 and together with the growing body of Asian data on IBS, we felt it is timely to update the Asian IBS Consensus.
Methods
Key opinion leaders from Asian countries were organized into 4 teams to review 4 themes: symptoms and epidemiology, pathophysiology, diagnosis and investigations, and lifestyle modifications and treatments. The consensus development process was carried out by using a modified Delphi method.
Results
Thirty-seven statements were developed. Asian data substantiate the current global viewpoint that IBS is a disorder of gut-brain interaction. Socio-cultural and environmental factors in Asia appear to influence the greater overlap between IBS and upper gastrointestinal symptoms. New classes of treatments comprising low fermentable oligo-, di-, monosacharides, and polyols diet, probiotics, non-absorbable antibiotics, and secretagogues have good evidence base for their efficacy.
Conclusions
Our consensus is that all patients with functional gastrointestinal disorders should be evaluated comprehensively with a view to holistic management. Physicians should be encouraged to take a positive attitude to the treatment outcomes for IBS patients.
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