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Irritable Bowel Syndrome

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Coloproctology

Part of the book series: European Manual of Medicine ((EUROMANUAL))

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Abstract

Irritable bowel syndrome (IBS) is characterized by chronic abdominal symptoms and irregular bowel movements without any cause that can be revealed by routine diagnostic assessment. While its pathophysiology has come to be better understood, new therapeutic approaches have been developed and are summarized in the new interdisciplinary S3 guideline to give concrete recommendations for symptom-based diagnosis and treatment. The Rome classification system characterizes IBS in terms of multiple physiological determinants contributing to a common set of symptoms rather than a single disease entity.

To achieve the best diagnostic results, a careful history and physical examination should be supplemented by basic laboratory testing, abdominal ultrasound, and, in women, gynecological examination.

Treatment options should be chosen according to the symptoms and might include dietary recommendations, psychological components, and symptomatic medication in addition to the general therapeutic principles. The prognosis differs by individual, depending on the patient’s optimism expectations and successful management.

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Author information

Authors and Affiliations

  1. Praxis für Gastroenterologie und Ernährungsmedizin am End-und Dickdarmzentrum, Mannheim, Germany

    Heiner Krammer MD, Franka Neumer MD & Laura Gruner MD

Authors
  1. Heiner Krammer MD
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  2. Franka Neumer MD
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  3. Laura Gruner MD
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Corresponding author

Correspondence to Heiner Krammer MD .

Editor information

Editors and Affiliations

  1. End- und Dickdarm-Zentrum Mannheim, Mannheim, Germany

    Alexander Herold

  2. Clinique de chirurgie digestive et endocrinienne, Institut des maladies de l’appareil digestif, Hotel Dieu, Nantes, France

    Paul-Antoine Lehur

  3. Chirurgische Klinik mit Poliklinik, Universitaet Erlangen, Erlangen, Germany

    Klaus E. Matzel

  4. UCD School of Medicine, St Vincent’s University Hospital, Dublin, Ireland

    P. Ronan O'Connell

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Krammer, H., Neumer, F., Gruner, L. (2017). Irritable Bowel Syndrome. In: Herold, A., Lehur, PA., Matzel, K., O'Connell, P. (eds) Coloproctology. European Manual of Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-53210-2_13

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  • DOI: https://doi.org/10.1007/978-3-662-53210-2_13

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-53208-9

  • Online ISBN: 978-3-662-53210-2

  • eBook Packages: MedicineMedicine (R0)

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