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Title: Asian consensus on irritable bowel syndrome
Authors: Kok Ann Gwee
Young Tae Bak
Uday Chand Ghoshal
Sutep Gonlachanvit
Oh Young Lee
Kwong Ming Fock
Andrew Seng Boon Chua
Ching Liang Lu
Khean Lee Goh
Chomsri Kositchaiwat
Govind Makharia
Hyo Jin Park
Full Young Chang
Shin Fukudo
Myung Gyu Choi
Shobna Bhatia
Meiyun Ke
Xiaohua Hou
Michio Hongo
Gleneagles Hospital
Korea University
Sanjay Gandhi Postgraduate Institute of Medical Sciences Lucknow
Chulalongkorn University
Hanyang University
Changi General Hospital
Ipoh Gastro Centre
Veterans General Hospital-Taipei
University of Malaya
Mahidol University
All India Institute of Medical Sciences, New Delhi
Severance Hospital
National Yang-Ming University, School of Medicine
Tohoku University School of Medicine
The Catholic University of Korea
King Edward Memorial Hospital India
Peking Union Medical College
Huazhong University of Science and Technology
Tohoku University Hospital
Keywords: Medicine
Issue Date: 1-Jan-2010
Citation: Journal of Gastroenterology and Hepatology (Australia). Vol.25, No.7 (2010), 1189-1205
Abstract: Background and Aims: Many of the ideas on irritable bowel syndrome (IBS) are derived from studies conducted in Western societies. Their relevance to Asian societies has not been critically examined. Our objectives were to bring to attention important data from Asian studies, articulate the experience and views of our Asian experts, and provide a relevant guide on this poorly understood condition for doctors and scientists working in Asia. Methods: A multinational group of physicians from Asia with special interest in IBS raised statements on IBS pertaining to symptoms, diagnosis, epidemiology, infection, pathophysiology, motility, management, and diet. A modified Delphi approach was employed to present and grade the quality of evidence, and determine the level of agreement. Results: We observed that bloating and symptoms associated with meals were prominent complaints among our IBS patients. In the majority of our countries, we did not observe a female predominance. In some Asian populations, the intestinal transit times in healthy and IBS patients appear to be faster than those reported in the West. High consultation rates were observed, particularly in the more affluent countries. There was only weak evidence to support the perception that psychological distress determines health-care seeking. Dietary factors, in particular, chili consumption and the high prevalence of lactose malabsorption, were perceived to be aggravating factors, but the evidence was weak. Conclusions: This detailed compilation of studies from different parts of Asia, draws attention to Asian patients' experiences of IBS. © 2010 Journal of Gastroenterology and Hepatology Foundation and Blackwell Publishing Asia Pty Ltd.
ISSN: 14401746
Appears in Collections:Scopus 2006-2010

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