Management of the Irritable Bowel Syndrome: Different Views of the Same Disease
Authors: Thomas P. Almy
Journal: Annals of Internal Medicine (1992)

Editorials15 June 1992Management of the Irritable Bowel Syndrome: Different Views of the Same DiseaseThomas P. Almy, MDThomas P. Almy, MDSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-116-12-1027 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptMore than a century and a half after the first clinical descriptions of the condition now known as the irritable bowel syndrome (IBS), a large number of mutually confirmatory observations on its underlying mechanisms and its etiology now encourage a degree of consensus on its clinical management. This work has originated in many different countries and includes the findings of clinicians, clinical epidemiologists, physiologists, neurobiologists, and behavioral scientists, using ever more sophisticated methods, more rigorous experimental design, and closer interdisciplinary collaboration.The magnitude of this effort may seem remarkable because it has been expended on a disorder yielding a zero...References1. Camilleri M and Prather C. The irritable bowel syndrome: mechanisms and a practical approach to management. Ann Intern Med. 1992;116(12 pt 1):1001-1008. LinkGoogle Scholar2. Drossman D and Thompson W. The irritable bowel syndrome: review and a graduated, multicomponent treatment approach. Ann Intern Med. 1992;116(12 pt 1):1009-1016. LinkGoogle Scholar3. Manning A, Thompson W, Heaton K, and Morris A. Towards positive diagnosis of the irritable bowel. Br Med J. 1978;2:653-4. CrossrefMedlineGoogle Scholar4. Drossman D, McKee D, Sandler R, Mitchell C, Cramer E, Lowman B, and Burger A. Psychosocial factors in the irritable bowel syndrome. A multivariate study of patients and nonpatients with irritable bowel syndrome. Gastroenterology. 1988;95:701-8. CrossrefMedlineGoogle Scholar5. Whitehead W, Bosmajian L, Zonderman A, Costa P, and Schuster M. Symptoms of psychologic distress associated with irritable bowel syndrome. Comparison of community and medical clinic samples. Gastroenterology. 1988;95:709-14. CrossrefMedlineGoogle Scholar6. Whitehead W, Winget C, Fedoravicius A, Wooley S, and Blackwell B. Learned illness behavior in patients with irritable bowel syndrome and peptic ulcer. Dig Dis Sci. 1982;27:202-8. CrossrefMedlineGoogle Scholar7. Drossman D, Leserman J, Nachman G, Li Z, Gluck H, Toomey T, and Mitchell C. Sexual and physical abuse in women with functional or organic gastrointestinal disorders. Ann Intern Med. 1990;113:828-33. LinkGoogle Scholar8. Lowman B, Drossman D, Cramer E, and McKee D. Recollection of childhood events in adults with irritable bowel syndrome. J Clin Gastroenterol. 1987;9:324-30. CrossrefMedlineGoogle Scholar9. Wood J. Enteric neurophysiology. Am J Physiol. 1984;247:G585-98. MedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: Thomas P. Almy, MD PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byStress and the Gastrointestinal Tract 15 June 1992Volume 116, Issue 12_Part_1Page: 1027-1028KeywordsClinical epidemiologyEtiologyInflammatory bowel diseaseIrritable bowel syndromeResearch designScientists ePublished: 1 December 2008 Issue Published: 15 June 1992 PDF downloadLoading ...