UPDATES ON MANAGEMENT OF IRRITABLE BOWEL SYNDROME
UPDATES ON MANAGEMENT OF IRRITABLE BOWEL SYNDROME UPDATES ON MANAGEMENT OF IRRITABLE BOWEL SYNDROME
from almchk.org.hk
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12.07.2015
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Classifications• Constipation–predominant IBS ( IBS –C ) hard or lumpy stools ≥25 percent / loose or watery stools
PATHOPHYSIOLOGY
- Page 1 and 2: UPDATES ON MANAGEMENT OFIRRITABLE B
- Page 3 and 4: Prevalence• Common GI condition
- Page 5 and 6: Prevalence in HK• Hong Kong 1000
- Page 7 and 8: Impact• Direct cost Prescription
- Page 9 and 10: Clinical manifestations• Othersbe
- Page 13 and 14: DIAGNOSIS
- Page 15 and 16: Manning criteria• > 3 of the foll
- Page 17 and 18: Symptom‐based diagnosticcriteriaL
- Page 19 and 20: How alarming ?SensitivitySpecificit
- Page 21 and 22: Diagnosis• Consensus statement is
- Page 23: Emerging specific Investigations•
- Page 27 and 28: Genetic predisposition• Similar s
- Page 29 and 30: Visceral Hypersensitivity andBrain
- Page 31 and 32: Small Intestine BacterialOvergrowth
- Page 33 and 34: Psychological Dysfunction• Not et
- Page 35 and 36: General PrincipleNon pharmacologica
- Page 37: Compare components of placebo effec
- Page 40 and 41: Outcomes at six week follow-upKaptc
- Page 42 and 43: Patient Education• Explain about
- Page 44: Psychosocial Therapies• Interpers
- Page 48 and 49: Pharmacological treatment• IBS wi
- Page 51 and 52: NNT=5(95% CI 4‐9 )
- Page 53 and 54: Anti‐depressantsSSRI• Less publ
- Page 55 and 56: Psychosocial TherapiesCBT• Cognit
- Page 57 and 58: IBS WITH DIARRHEA
- Page 59 and 60: Alosetron• 1 st IBS specific medi
- Page 61 and 62: Summary of Treatment forIBS‐assoc
- Page 63 and 64: FiberNNT: 11(95%CI ,5‐100)
- Page 65: Tegaserod• Only 5HT4 Receptor ago
- Page 69 and 70: Lubiprostone• Selective C‐2 chl
- Page 71 and 72: Summary of Treatment forIBS‐assoc
- Page 73 and 74: Alternative Therapies• Peppermint
Classifications• Constipation–predominant IBS ( IBS –C ) hard or lumpy stools ≥25 percent / loose or watery stools
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