TY - JOUR
T1 - Asian consensus on irritable bowel syndrome
AU - Gwee, Kok Ann
AU - Bak, Young Tae
AU - Ghoshal, Uday Chand
AU - Gonlachanvit, Sutep
AU - Lee, Oh Young
AU - Fock, Kwong Ming
AU - Chua, Andrew Seng Boon
AU - Lu, Ching Liang
AU - Goh, Khean Lee
AU - Kositchaiwat, Chomsri
AU - Makharia, Govind
AU - Park, Hyo Jin
AU - Chang, Full Young
AU - Fukudo, Shin
AU - Choi, Myung Gyu
AU - Bhatia, Shobna
AU - Ke, Meiyun
AU - Hou, Xiaohua
AU - Hongo, Michio
PY - 2010/7
Y1 - 2010/7
N2 - 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.
AB - 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.
KW - Asia
KW - diagnosis
KW - diet
KW - epidemiology
KW - irritable bowel syndrome
KW - pathophysiology
KW - symptom
UR - http://www.scopus.com/inward/record.url?scp=77954002828&partnerID=8YFLogxK
U2 - 10.1111/j.1440-1746.2010.06353.x
DO - 10.1111/j.1440-1746.2010.06353.x
M3 - Article
C2 - 20594245
AN - SCOPUS:77954002828
SN - 0815-9319
VL - 25
SP - 1189
EP - 1205
JO - Journal of Gastroenterology and Hepatology (Australia)
JF - Journal of Gastroenterology and Hepatology (Australia)
IS - 7
ER -