ACG Releases Recommendations on the Management of Irritable Bowel Syndrome

摘要

In persons who fulfill symptom-based criteria of IBS, the absence of selected alarm features (e.g., rectal bleeding; weight loss; iron deficiency anemia; nocturnal symptoms; family history of colorectal cancer, inflammatory bowel disease, or celiac disease) should confirm an IBS diagnosis. Persons with IBS will typically also have anxiety, depression, or features of somatization. Because psychological disorders tend to overlap with IBS, studies have assessed psychological therapy, including cognitive behavior therapy, dynamic psychotherapy, hypnotherapy, and relaxation therapy, in the treatment of IBS.