Role of radiologic imaging in irritable bowel syndrome: evidence-based review

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dc.contributor.author O'Connor, Owen J.
dc.contributor.author McSweeney, Sean E.
dc.contributor.author McWilliams, Sebastian R.
dc.contributor.author O'Neill, Siobhán B.
dc.contributor.author Shanahan, Fergus
dc.contributor.author Quigley, Eamon M.
dc.contributor.author Maher, Michael M.
dc.date.accessioned 2018-08-22T13:58:33Z
dc.date.available 2018-08-22T13:58:33Z
dc.date.issued 2012-01
dc.identifier.citation O’Connor, O. J., McSweeney, S. E., McWilliams, S., O’Neill, S., Shanahan, F., Quigley, E. M. M. and Maher, M. M. (2012) 'Role of Radiologic Imaging in Irritable Bowel Syndrome: Evidence-based Review', Radiology, 262(2), pp. 485-494. doi:10.1148/radiol.11110423 en
dc.identifier.volume 262 en
dc.identifier.issued 2 en
dc.identifier.startpage 485 en
dc.identifier.endpage 494 en
dc.identifier.issn 0033-8419
dc.identifier.issn 1527-1315
dc.identifier.uri http://hdl.handle.net/10468/6634
dc.identifier.doi 10.1148/radiol.11110423
dc.description.abstract Purpose: To critically evaluate the current literature in an effort to establish the current role of radiologic imaging (computed tomography, magnetic resonance imaging, ultrasonography [US], fluoroscopy, conventional film radiography) in irritable bowel syndrome (IBS). Materials and Methods: The term “irritable bowel syndrome” was used to search Clinical Evidence, UpToDate, Cochrane Library, TRIP, and National Institute for Health and Clinical Excellence databases and the American College of Physicians Journal Club and Evidence-Based Medicine online. PubMed was searched by using medical subject headings (“irritable bowel syndrome;” “colonic diseases, functional;” “diagnosis;” “colonography;” “computed tomographic (CT)”) and the dates January 1, 1985 to July 1, 2010. Appraisal was independently performed by two reviewers who followed the Oxford Centre for Evidence Based Medicine practice criteria. Results: No systematic review (SR) specifically examined radiologic imaging in IBS; however, in the secondary literature, five relevant SRs or guidelines partially addressed this topic. A PubMed search identified 1451 articles, 111 of which at least partially addressed radiologic imaging. Of these, seven valid articles (two SRs and five primary research articles) were identified. The five primary research articles examined either colonic investigations (colonoscopy and barium enema examination) (n = 5) or US (n = 2) or both (n = 2). Structural disease found infrequently in patients with IBS-type symptoms included diverticulosis, colorectal cancer, celiac disease, inflammatory bowel disease, and ovarian cancer. The incidence of structural disease in patients with concerning symptoms was low. Conclusion: Although widely used, there is a surprising paucity of evidence guiding radiologic imaging in IBS. Radiologic imaging may not be required in patients with IBS without potentially concerning symptoms but should be considered where such symptoms exist, and choice of imaging study should be influenced by predominant symptoms. Definitive recommendations must await further research. en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher Radiological Society of North America (RSNA) en
dc.relation.uri https://pubs.rsna.org/doi/abs/10.1148/radiol.11110423
dc.rights © RSNA, 2011. Note: This copy is for your personal, non-commercial use only. To order presentation-ready copies for distribution to your colleagues or clients, contact www.rsna.org/rsnarights. en
dc.subject Functional abdominal-pain en
dc.subject Diagnostic-tests en
dc.subject Rome criteria en
dc.subject Barium enema en
dc.subject Colonoscopy en
dc.subject Clinical trials as topic en
dc.subject Diagnostic imaging en
dc.subject Evidence-based medicine en
dc.subject Irritable bowel syndrome en
dc.subject Prevalence en
dc.subject Reproducibility of results en
dc.subject Sensitivity and specificity en
dc.title Role of radiologic imaging in irritable bowel syndrome: evidence-based review en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Owen O'Connor, Medicine , University College Cork, Cork, Ireland. +353-21-490-3000 Email: oj.oconnor@ucc.ie en
dc.internal.availability Full text available en
dc.date.updated 2018-06-20T16:29:30Z
dc.description.version Published Version en
dc.internal.rssid 160956803
dc.internal.wokid 000300300200014
dc.description.status Peer reviewed en
dc.identifier.journaltitle Radiology en
dc.internal.copyrightchecked No !!CORA!! en
dc.internal.licenseacceptance Yes en
dc.internal.IRISemailaddress oj.oconnor@ucc.ie en


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