Recommendations for the management of irritable bowel syndrome in family practice

William G. Paterson, W. Grant Thompson, Stephen J. Vanner, Thomas R. Faloon, Walter W. Rosser, Richard W. Birtwhistle, Janet L. Morse, Thomas A. Touzel, David Armstrong, Thomas Bailey, Michel Boivin, Marc Bradette, Deborah Briggs, Michael Camilleri, Louise Clément, Alain Couel, Paul Davidson, William Depew, Nicholas Diamant, Douglas A. DrossmanCatherine Dubé, Leslie Flynn, Mary Kate Gazendam, N. Marshall Godwin, Kenneth W. Heaton, Kenneth Klein, Desmond Leddin, Judy Mader, Brian Murat, Kathryn Myers, Marcia Prest, Catherine Renda-Moore, Richard Reynolds, Brenda Toner, Liz Touzel, Geoffrey Turnbull

Research output: Contribution to journalArticle

69 Scopus citations

Abstract

To help family physicians manage patients with irritable bowel syndrome (IBS), a consensus conference was convened in June 1997 at which 5 internationally recognized experts in IBS presented position papers on selected topics previously circulated to the conference participants. Five working groups comprising family physicians, gastroenterologists and allied health care professionals from across Canada were then charged with developing recommendations for the diagnosis, patient education, psychosocial management, dietary advice and pharmacotherapy, respectively. An evidence-based approach was used where possible; otherwise, recommendations were made by consensus. The participants concluded that family physicians can make a positive diagnosis of IBS using symptom criteria. The pathophysiology is poorly understood, but motility and sensory disturbances appear to play a role. Neither psychological nor specific dietary factors cause IBS, but both can trigger symptoms. Drug therapy is not recommended for the routine treatment of IBS, but short-term trials of drug therapy may be targeted to predominant symptoms in selected patients. A step-wise, patient-centred approach to management is outlined.

Original languageEnglish (US)
Pages (from-to)154-160
Number of pages7
JournalCMAJ
Volume161
Issue number2
StatePublished - Jul 27 1999

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ASJC Scopus subject areas

  • Medicine(all)

Cite this

Paterson, W. G., Thompson, W. G., Vanner, S. J., Faloon, T. R., Rosser, W. W., Birtwhistle, R. W., Morse, J. L., Touzel, T. A., Armstrong, D., Bailey, T., Boivin, M., Bradette, M., Briggs, D., Camilleri, M., Clément, L., Couel, A., Davidson, P., Depew, W., Diamant, N., ... Turnbull, G. (1999). Recommendations for the management of irritable bowel syndrome in family practice. CMAJ, 161(2), 154-160.