Management tactics for a patient with irritable bowel syndrome

DOI: https://doi.org/10.29296/25877305-2018-10-11
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Issue: 
10
Year: 
2018

Professor T. Polunina, MD A.I. Evdokimov Moscow State University of Medicine and Dentistry

Irritable bowel syndrome (IBS) can significantly impair patients’ quality of life and leads to considerable direct and indirect costs of treatment and diagnosis. The general diagnostic algorithm for IBS consists of 4 main items: collection of data from patients’ medical records and analysis of clinical presentations; physical examination; minimally required laboratory tests; and instrumental diagnosis. The treatment of patients with IBS is to modify diet and lifestyle, to take pharmacological agents, and to use psychotherapeutic interventions. The paper gives a clinical case as an example of algorithms for the diagnosis and treatment of IBS.
Keywords: 
gastroenterology
irritable bowel syndrome
diagnosis
treatment
metabiotics
Bactistatin

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References: 
  1. Maev I.V., Cheremushkin S.V., Kucherjavyj Ju.A., i dr. Algoritm vedenija patsientov s sindromom razdrazhennogo kishechnika. Rimskie kriterii IV // RMZh. – 2017; 10: 718–22.
  2. Ivashkin V.T., Shelygin Ju.A., Baranskaja E.K. i dr. Klinicheskie rekomendatsii Rossijskoj gastroenterologicheskoj assotsiatsii i Assotsiatsii koloproktologov Rossii po diagnostike i lecheniju sindroma razdrazhennogo kishechnika // Ros zhurn. gastroenterol., gepatol. i koloproktol. – 2017; 27 (5): 76–93.
  3. Ardatskaja M.D., Stoljarova L.G., Arhipova E.V. i dr. Metabiotiki kak estestvennoe razvitie probioticheskoj kontseptsii // Trudnyj patsient. – 2017; 15 (6–7): 35–9.
  4. Behtereva M.K., Luk'janova A.M., Horosheva T.S. i dr. Sovremennye podhody k ratsional'noj terapii bakterial'nyh diarej // Lechaschij vrach. – 2014; 12: 54–7.
  5. Pavlenko V.V., Kataganova G.A., Aleksandrova S.B. i dr. Probiotiki i vospalitel'nye zabolevanija kishechnika: otsenka effektivnosti probioticheskogo kompleksa Baktistatin v terapii bol'nyh jazvennym kolitom // Sovremennye problemy nauki i obrazovanija. – 2015; 5: 75.
  6. Agafonova N.A., Jakovenko E.P., Ivanov A.N. i dr. Effektivnost' preparata Baktistatin v lechenii postinfektsionnogo sindroma razdrazhennogo kishechnika // Lechebnoe delo. – 2017; 3: 54–62.
  7. Plotnikova E.Ju. Effekty aktivnyh metabolitov Bacillus subtilis v probioticheskom produkte novogo pokolenija // RMZh. Meditsinskoe obozrenie. – 2018; 3: 39–44.
  8. Bondarenko V.M. Metabolitnye probiotiki: mehanizmy terapevticheskogo effekta pri mikroekologicheskih narushenijah // Consilium Medicum. – 2005; 7: 437–43.
  9. Agafonova N.A., Jakovenko E.P., Ivanov A.N. i dr. Osobennosti terapii bol'nyh s postinfektsionnym sindromom razdrazhennogo kishechnika // Farmateka. – 2011; 15: 50–5.