Asian consensus on irritable bowel syndrome

Kok Ann Gwee, Young Tae Bak, Uday Chand Ghoshal, Sutep Gonlachanvit, Oh Young Lee, Kwong Ming Fock, Andrew Seng Boon Chua, Ching Liang Lu, Khean Lee Goh, Chomsri Kositchaiwat, Govind Makharia, Hyo Jin Park, Full Young Chang, Shin Fukudo, Myung Gyu Choi, Shobna Bhatia, Meiyun Ke, Xiaohua Hou, Michio Hongo

Research output: Contribution to journalArticle

119 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)1189-1205
Number of pages17
JournalJournal of Gastroenterology and Hepatology (Australia)
Volume25
Issue number7
DOIs
Publication statusPublished - 2010 Jul

All Science Journal Classification (ASJC) codes

  • Hepatology
  • Gastroenterology

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    Gwee, K. A., Bak, Y. T., Ghoshal, U. C., Gonlachanvit, S., Lee, O. Y., Fock, K. M., Chua, A. S. B., Lu, C. L., Goh, K. L., Kositchaiwat, C., Makharia, G., Park, H. J., Chang, F. Y., Fukudo, S., Choi, M. G., Bhatia, S., Ke, M., Hou, X., & Hongo, M. (2010). Asian consensus on irritable bowel syndrome. Journal of Gastroenterology and Hepatology (Australia), 25(7), 1189-1205. https://doi.org/10.1111/j.1440-1746.2010.06353.x