Comparison of Manning, Rome I, II, and III, and Asian diagnostic criteria: Report of the Multicentric Indian Irritable Bowel Syndrome (MIIBS) study
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- 作者：Uday C. Ghoshal (1)
Philip Abraham (2)
Shobna J. Bhatia (3)
Sri Prakash Misra (4)
Gourdas Choudhuri (1)
K. D. Biswas (5)
Karmabir Chakravartty (6)
Sunil Dadhich (7)
B. D. Goswami (8)
V. Jayanthi (9)
Sunil Kumar (1)
Abraham Koshy (10)
K. R. Vinay Kumar (11)
Govind Makharia (12)
Sandeep Nijhawan (13)
Nitesh Pratap (14)
Gautam Ray (15)
Sanjeev Sachdeva (16)
Shivaram Prasad Singh (17)
Varghese Thomas (18)
Harsh Udawat (19) - 关键词：Abdominal pain ; Constipation ; Diarrhea ; Functional bowel disorders ; Functional gastrointestinal disorders
- 刊名：Indian Journal of Gastroenterology
- 出版年：2013
- 出版时间：November 2013
- 年：2013
- 卷：32
- 期：6
- 页码：369-375
- 全文大小：
- 作者单位：Uday C. Ghoshal (1)
Philip Abraham (2)
Shobna J. Bhatia (3)
Sri Prakash Misra (4)
Gourdas Choudhuri (1)
K. D. Biswas (5)
Karmabir Chakravartty (6)
Sunil Dadhich (7)
B. D. Goswami (8)
V. Jayanthi (9)
Sunil Kumar (1)
Abraham Koshy (10)
K. R. Vinay Kumar (11)
Govind Makharia (12)
Sandeep Nijhawan (13)
Nitesh Pratap (14)
Gautam Ray (15)
Sanjeev Sachdeva (16)
Shivaram Prasad Singh (17)
Varghese Thomas (18)
Harsh Udawat (19)
1. Department of Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Raebareli Road, Lucknow, 226 014, India
2. Department of Gastroenterology, P D Hinduja National Hospital and Medical Research Centre, Veer Savarkar Marg, Mahim, Mumbai, 400 016, India
3. Department of Gastroenterology, K E M Hospital, Parel, Mumbai, 400 012, India
4. Department of Gastroenterology, Moti Lal Nehru Medical College, University of Allahabad, Allahabad, 211 001, India
5. Department of Gastroenterology, Calcutta Medical College, Kolkata, India
6. Department of Gastroenterology, Kothari Medical Centre, 8/3, Alipore Road, Alipore, Kolkata, 700 027, India
7. Department of Gastroenterology, S N Medical College, Residency Road, Sector D, Shastri Nagar, Jodhpur, 342 001, India
8. Department of Gastroenterology, Gauhati Medical College, Guwahati, AS 781 034, India
9. Department of Gastroenterology, Stanley Medical College, Old Jail Road, Royapuram, Chennai, 600 001, India
10. Department of Hepatology, Lakeshore Hospital, Kochi, 682 304, India
11. Medical College Hospital, Ulloor Road, Thiruvananthapuram, 695 011, India
12. Department of Gastroenterology and Human Nutrition, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110 029, India
13. Department of Gastroenterology, Sawai Man Singh Medical College, J L N Marg, Jaipur, 302 004, India
14. Asian Institute of Gastroenterology, 6-3-661, Somajiguda, Hyderabad, 500 082, India
15. Department of Gastroenterology, B R Singh Hospital, Kolkata, 700 014, India
16. Department of Gastroenterology, G B Pant Hospital, Jawaharlal Nehru Marg, New Delhi, 110 002, India
17. Department of Gastroenterology, S C B Medical College, Cuttack, 753 007, India
18. Department of Gastroenterology, Calicut Medical College, Medical College Road, Calicut, 673 008, India
19. Department of Gastroenterology, Santokba Durlabhji Memorial Hospital Cum Medical Research Institute, Bhawani Singh Marg, Jaipur, 302 015, India - ISSN：0975-0711
文摘
Background Attempts to diagnose and subtype irritable bowel syndrome (IBS) by symptom-based criteria have limitations, as these are developed in the West and might not be applicable in other populations. Objectives This study aimed to compare different criteria for diagnosing and subtyping of IBS in India. Method Manning's and the Rome I, II, and III criteria as well as the Asian criteria were applied to 1,618 patients (from 17 centers in India) with chronic lower gastrointestinal (GI) symptoms with no alarm features and negative investigations. Results Of 1,618 patients (aged 37.5 [SD 12.6]?years; 71.2?% male), 1,476 (91.2?%), 1,098 (67.9?%), 649 (40.1?%), 849 (52.5?%), and 1,206 (74.5?%) fulfilled Manning's, Rome I, II, and III, and the Asian criteria, respectively. The most common reason for not fulfilling the criteria was absence of the following symptoms: ?ore frequent stools with onset of pain,??oose stool with onset of pain,??elief of pain with passage of stool,??ther abdominal discomfort/bloating,?and, in a minority, not meeting the duration criterion of 3?months/12?weeks. By stool frequency, constipation-predominant IBS (<3 stools/week) was diagnosed in 319 (19.7?%), diarrhea-predominant IBS (>3 stools/day) in 43 (2.7?%), and unclassified in 1,256 (77.6?%). By Bristol stool form, constipation, diarrhea, and unclassified were diagnosed in 655 (40.5?%), 709 (43.8?%), and 254 (15.7?%) patients, respectively. By their own perception, 462 (28.6?%), 541 (33.4?%), and 452 (27.9?%) patients reported constipation-predominant, diarrhea-predominant, and alternating types, respectively. Conclusion By Manning's and the Asian criteria, a diagnosis of IBS was made frequently among Indian patients with chronic functional lower GI symptoms with no alarm features; the Rome II criteria gave the lowest yield. By the stool frequency criteria, a majority of patients had unclassified pattern, unlike by the stool form and patients' perception of their symptoms.