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Gastroenterology Insights
Volume 3
Issue 1
10.4081/gi.2011.e3
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Gastroenterology Insights is published by MDPI from Volume 11 Issue 1 (2020). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
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Article

The Prevalence of Inflammatory Bowel Diseases, Microscopic Colitis, and Colorectal Cancer in Patients with Irritable Bowel Syndrome

by
Magdy El-Salhy
1,2,*,
Jörg Halwe
1,
Bjarne Lomholt-Beck
3 and
Doris Gundersen
4
1
Section for Gastroenterology, Department of Medicine, Stord Helse-Fonna Hospital, Box 4000, 54 09 Stord, Norway
2
Section for Gastroenterology, Institute of Medicine, University of Bergen, Bergen, Norway
3
Department of Pathology, Haugesund Helse-Fonna Hospital, Haugesund, Norway
4
Department of Research, Helse-Fonna, Haugesund, Norway
*
Author to whom correspondence should be addressed.
Gastroenterol. Insights 2011, 3(1), e3; https://doi.org/10.4081/gi.2011.e3
Submission received: 17 February 2011 / Revised: 17 April 2011 / Accepted: 19 April 2011 / Published: 20 July 2011

Abstract

The diagnosis of irritable bowel syndrome (IBS) is symptom-based and experts have developed diagnostic criteria for IBS. Distinguishing inflammatory bowel diseases (IBD) from IBS, especially with mild disease activity, can be difficult. Another concern is microscopic colitis (MC). MC and IBS have similar symptoms and a normal endoscopic appearance. Our study investigated the prevalence of patients with IBD, MC, and colorectal cancer among 968 patients that fulfill the Rome III criteria for IBS. Among these patients, four were found with IBD (0.4%) and seven with MC (0.7%). Among the IBD patients, three suffered from Crohn’s disease, affecting the terminal ileum, and one with ulcerative rectosigmoiditis. Of the seven patients with MC, two had collagenous colitis and five had lymphocytic colitis. Two IBS diarrhea-predominant patients had adenocarcin­oma in the sigmoid colon. These patients were a female aged 58 years and a male aged 56 years. We concluded from our study and earl­ier studies that symptom-based diagnosis of IBS may lead to missing a number of other gastrointestinal disorders that require quite different management than that for IBS.
Keywords: Crohn's disease; histopathology; irritable bowel syndrome; immunocytochemistry; microscopic colitis prevalence; colorectal cancer; screening Crohn's disease; histopathology; irritable bowel syndrome; immunocytochemistry; microscopic colitis prevalence; colorectal cancer; screening

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MDPI and ACS Style

El-Salhy, M.; Halwe, J.; Lomholt-Beck, B.; Gundersen, D. The Prevalence of Inflammatory Bowel Diseases, Microscopic Colitis, and Colorectal Cancer in Patients with Irritable Bowel Syndrome. Gastroenterol. Insights 2011, 3, e3. https://doi.org/10.4081/gi.2011.e3

AMA Style

El-Salhy M, Halwe J, Lomholt-Beck B, Gundersen D. The Prevalence of Inflammatory Bowel Diseases, Microscopic Colitis, and Colorectal Cancer in Patients with Irritable Bowel Syndrome. Gastroenterology Insights. 2011; 3(1):e3. https://doi.org/10.4081/gi.2011.e3

Chicago/Turabian Style

El-Salhy, Magdy, Jörg Halwe, Bjarne Lomholt-Beck, and Doris Gundersen. 2011. "The Prevalence of Inflammatory Bowel Diseases, Microscopic Colitis, and Colorectal Cancer in Patients with Irritable Bowel Syndrome" Gastroenterology Insights 3, no. 1: e3. https://doi.org/10.4081/gi.2011.e3

APA Style

El-Salhy, M., Halwe, J., Lomholt-Beck, B., & Gundersen, D. (2011). The Prevalence of Inflammatory Bowel Diseases, Microscopic Colitis, and Colorectal Cancer in Patients with Irritable Bowel Syndrome. Gastroenterology Insights, 3(1), e3. https://doi.org/10.4081/gi.2011.e3

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