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논문 기본 정보

자료유형
학술저널
저자정보
Amal Arifi Hidayat (Department of Internal Medicine, Faculty of Medicine, Universitas Airlangga, Surabaya) Langgeng Agung Waskito (Department of Physiology and Biochemistry, Faculty of Medicine, Universitas Airlangga, Surabaya) Titong Sugihartono (Division of Gastroentero-Hepatology, Department of Internal Medicine, Faculty of Medicine, Universitas Airlangga - Dr.Soetomo Teaching Hospital) Hafeza Aftab (Department of Gastroenterology, Dhaka Medical College and Hospital, Dhaka, Bangladesh) Yudith Annisa Ayu Rezkitha (Department of Internal Medicine, Universitas Muhammadiyah Surabaya, Surabaya, Indonesia) Ratha-korn Vilaichone (Gastroenterology Unit, Department of Medicine, Thammasat University Hospital, Pathumthani, Thailand) Muhammad Miftahussurur (Division of Gastroentero-Hepatology, Department of Internal Medicine, Faculty of Medicine, Universitas Airlangga - Dr.Soetomo Teaching Hospital, Surabaya; Helicobacter pylori and Mycrobiota)
저널정보
대한장연구학회 Intestinal research Intestinal research Vol.22 No.3
발행연도
2024.7
수록면
286 - 296 (11page)
DOI
10.5217/ir.2023.00199

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초록· 키워드

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Irritable bowel syndrome (IBS) is a highly prevalent gastrointestinal disorder associated with substantial impairment which considerably burdens healthcare systems worldwide. Research on IBS has largely been conducted in high-income countries posing barriers to the application of diagnostic strategies in low- and middle-income countries (LMICs) due to differences in disease characteristics, healthcare resources, and socioeconomic factors. This review discusses the diagnostic issues associated with LMICs. We present a concise overview of the relevant approaches and propose a diagnostic strategy based on the latest evidence. A positive diagnostic strategy that relies on appropriate symptom-based criteria is crucial within the diagnostic framework. A combination of complete blood count, fecal occult blood test, and complete stool test may reliably identify individuals with suspected IBS who are more likely to have organic diseases, thus justifying the necessity for a colonoscopy. Eventually, we developed a diagnostic algorithm based on a limited setting perspective that summarizes the available evidence and may be applied in LMICs.

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