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

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dc.contributor.authorO'Connor, Owen J.
dc.contributor.authorMcSweeney, Sean E.
dc.contributor.authorMcWilliams, Sebastian R.
dc.contributor.authorO'Neill, Siobhán B.
dc.contributor.authorShanahan, Fergus
dc.contributor.authorQuigley, Eamon M.
dc.contributor.authorMaher, Michael M.
dc.date.accessioned2018-08-22T13:58:33Z
dc.date.available2018-08-22T13:58:33Z
dc.date.issued2012-01
dc.date.updated2018-06-20T16:29:30Z
dc.description.abstractPurpose: 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.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationO’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.11110423en
dc.identifier.doi10.1148/radiol.11110423
dc.identifier.endpage494en
dc.identifier.issn0033-8419
dc.identifier.issn1527-1315
dc.identifier.issued2en
dc.identifier.journaltitleRadiologyen
dc.identifier.startpage485en
dc.identifier.urihttps://hdl.handle.net/10468/6634
dc.identifier.volume262en
dc.language.isoenen
dc.publisherRadiological Society of North America (RSNA)en
dc.relation.urihttps://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.subjectFunctional abdominal-painen
dc.subjectDiagnostic-testsen
dc.subjectRome criteriaen
dc.subjectBarium enemaen
dc.subjectColonoscopyen
dc.subjectClinical trials as topicen
dc.subjectDiagnostic imagingen
dc.subjectEvidence-based medicineen
dc.subjectIrritable bowel syndromeen
dc.subjectPrevalenceen
dc.subjectReproducibility of resultsen
dc.subjectSensitivity and specificityen
dc.titleRole of radiologic imaging in irritable bowel syndrome: evidence-based reviewen
dc.typeArticle (peer-reviewed)en
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