Post-infectious irritable bowel syndrome

被引:151
作者
Thabane, Marroon [2 ]
Marshall, John K. [1 ]
机构
[1] McMaster Univ, Div Gastroenterol, Med Ctr, Hamilton, ON L8N 3Z5, Canada
[2] McMaster Univ, Dept Clin Epidemiol & Biostat, Hamilton, ON L8N 3Z5, Canada
关键词
Irritable bowel syndrome; Functional colonic disease; Gastroenteritis; Functional bowel disorder; PLACEBO-CONTROLLED TRIAL; FUNCTIONAL GASTROINTESTINAL DISORDERS; ENTEROCHROMAFFIN CELL HYPERPLASIA; INTESTINAL BACTERIAL OVERGROWTH; WATERBORNE GASTROENTERITIS GE; RANDOMIZED CONTROLLED-TRIAL; DIARRHEA-PREDOMINANT IBS; DOUBLE-BLIND; RECEPTOR ANTAGONIST; WALKERTON OUTBREAK;
D O I
10.3748/wjg.15.3591
中图分类号
R57 [消化系及腹部疾病];
学科分类号
100201 [内科学];
摘要
Post-infectious irritable bowel syndrome (PI-IBS) is a common disorder wherein symptoms of IBS begin after an episode of acute gastroenteritis. Published studies have reported incidence of PI-IBS to range between 5% and 32%. The mechanisms underlying the development of PI-IBS are not fully understood, but are believed to include persistent sub-clinical inflammation, changes in intestinal permeability and alteration of gut flora. Individual studies have suggested that risk factors for PI-IBS include patients' demographics, psychological disorders and the severity of enteric illness. However, PI-IBS remains a diagnosis of exclusion with no specific disease markers and, to date, no definitive therapy exists. The prognosis of PI-IBS appears favorable with spontaneous and gradual resolution of symptoms in most patients. (C) 2009 The WJG Press and Baishideng. All rights reserved.
引用
收藏
页码:3591 / 3596
页数:6
相关论文
共 75 条
[1]
Antibiotic efficacy in small intestinal bacterial overgrowth-related chronic diarrhea:: A crossover, randomized trial [J].
Attar, A ;
Flourié, B ;
Rambaud, JC ;
Franchisseur, C ;
Ruszniewski, P ;
Bouhnik, Y .
GASTROENTEROLOGY, 1999, 117 (04) :794-797
[2]
Role of immunologic factors and cyclooxygenase 2 in persistent postinfective enteric muscle dysfunction in mice [J].
Barbara, G ;
De Giorgio, R ;
Deng, YK ;
Vallance, B ;
Blennerhassett, P ;
Collins, SM .
GASTROENTEROLOGY, 2001, 120 (07) :1729-1736
[3]
Bardhan KD, 2000, ALIMENT PHARM THERAP, V14, P23
[4]
The incidence of irritable bowel syndrome among community subjects with previous acute enteric infection [J].
Borgaonkar, Mark R. ;
Ford, David C. ;
Marshall, John K. ;
Churchill, Elizabeth ;
Collins, Stephen M. .
DIGESTIVE DISEASES AND SCIENCES, 2006, 51 (05) :1026-1032
[5]
Efficacy and safety of alosetron in women with irritable bowel syndrome: a randomised, placebo-controlled trial [J].
Camilleri, M ;
Northcutt, AR ;
Kong, S ;
Dukes, GE ;
McSorley, D ;
Mangel, AW .
LANCET, 2000, 355 (9209) :1035-1040
[6]
Probiotics and irritable bowel syndrome: Rationale, putative mechanisms, and evidence of clinical efficacy [J].
Camilleri, M .
JOURNAL OF CLINICAL GASTROENTEROLOGY, 2006, 40 (03) :264-269
[7]
A randomized controlled clinical trial of the serotonin type 3 receptor antagonist alosetron in women with diarrhea-predominant irritable bowel syndrome [J].
Camilleri, M ;
Chey, WY ;
Mayer, EA ;
Northcutt, AR ;
Heath, A ;
Dukes, GE ;
McSorley, D ;
Mangel, AM .
ARCHIVES OF INTERNAL MEDICINE, 2001, 161 (14) :1733-1740
[8]
Camilleri M, 1999, ALIMENT PHARM THERAP, V13, P1149
[9]
Probiotics and irritable bowel syndrome [J].
Camilleri, Michael .
JOURNAL OF CLINICAL GASTROENTEROLOGY, 2008, 42 (08) :S123-S125
[10]
A dose-ranging, phase II study of the efficacy and safety of alosetron in men with diarrhea-predominant IBS [J].
Chang, L ;
Ameen, VZ ;
Dukes, GE ;
McSorley, DJ ;
Carter, EG ;
Mayer, EA .
AMERICAN JOURNAL OF GASTROENTEROLOGY, 2005, 100 (01) :115-123