Review of the role of abdominal imaging in irritable bowel syndrome.

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Kavanagh, Richard G.
O'Grady, John
Carey, Brian W.
O'Connor, Owen J.
Maher, Michael M.
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Baishideng Publishing Group Inc.
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The role of radiologic imaging in the investigation of irritable bowel syndrome (IBS) remains a subject of debate and there is some evidence, from recent studies of utilization of imaging in IBS, which focused on associated costs and radiation exposure, that imaging is being used relatively widely in these patients. This review aims to assess current best evidence to accurately define the role of radiologic imaging in IBS patients. Primary and secondary literature searches were performed. Evidence suggests that the lack of "red flag" or alarm features in IBS patients should reassure the clinician that the diagnosis of IBS is correct and United States and United Kingdom guidelines recommend no radiologic imaging for IBS patients if alarm features are not present. In patients presenting with IBS symptoms and alarm features, radiologic testing may be used to exclude an alternative diagnosis and the imaging modality should be chosen based on the most likely alternative diagnosis.
Abdominal imaging , Rome criteria , Irritable bowel syndrome
Kavanagh, R. G., O'Grady, J., Carey, B. W., O'Connor, O. J. and Maher, M. M. (2018) 'Review of the role of abdominal imaging in irritable bowel syndrome', World Journal of Radiology: WJR, 10 (11):143-144. doi: 10.4329/wjr.v10.i11.143
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© The Author(s) 2018. Published by Baishideng Publishing Group Inc. All rights reserved. This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: