Diagnosis and management of functional symptoms in inflammatory bowel disease in remission

• 作者: Carlos Teruel Elena Garrido Francisco Mesonero
• 来源期刊: 世界胃肠药理与治疗学杂志：英文版（电子版）
• 学科: 医学
• 关键词: Inflammatory BOWEL DISEASE Crohn’s DISEASE ULCERATIVE colitis IRRITABLE BOWEL syndrome FUNCTIONAL gastrointestinal DISEASE
• 年，卷（期）: sjwcylyzlxzzywbdzb_2016,（1）
• 页码范围: 78-90
• 页数: 13页
• 分类号: R574

摘要

Inflammatory bowel disease(IBD) patients in remission may suffer from gastrointestinal symptoms that resemble irritable bowel syndrome(IBS). Knowledge on this issue has increased considerably in the last decade, and it is our intention to review and summarize it in the present work. We describe a problematic that comprises physiopathological uncertainties, diagnostic difficulties, as IBS-like symptoms are very similar to those produced by an inflammatory flare, and the necessity of appropriate management of these patients, who, although in remission, have impaired quality of life. Ultimately, from almost a philosophical point of view, the presence of IBS-like symptoms in IBD patients in remission supposes a challenge to the traditional functional-organic dichotomy, suggesting the need for a change of paradigm.