In 1849, Cumming1 said of the irritable bowel syndrome, "Thebowels are at one time constipated, another lax, in the sameperson. How the disease has two such different symptoms I donot profess to explain." Over the years, the unexplained gastrointestinalsymptoms of the irritable bowel syndrome have been describedin various terms, including mucous colitis, spastic colitis,nervous colon, and irritable colon. The irritable bowel syndromeand nonulcer dyspepsia are the most common functional gastrointestinaldisorders.
The irritable bowel syndrome is defined on the basis of therecently modified Rome criteria as the presence for at least12 . . . [Full Text of this Article]
Epidemiologic Features
Pathophysiologic Features
Altered Bowel Motility
Visceral Hypersensitivity
Psychosocial Factors
Neurotransmitter Imbalance
Infection and Inflammation
Diagnosis
Treatment
Source Information
From the Gastroenterology Section and the Functional Gastrointestinal Diseases Center, Temple University School of Medicine, Philadelphia.
Address reprint requests to Dr. Fisher at the Gastroenterology Section, Temple University Hospital, 3401 N. Broad St., Philadelphia, PA 19140.
References
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