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==Overview==
==Overview==
Irritable Bowel syndrome(IBS) was first mentioned in the Rocky Mountain Medical Journal in 1950. In this article, IBS was described as a psychosomatic disorder.
Irritable Bowel syndrome(IBS) was first mentioned in the Rocky Mountain Medical Journal in 1950. IBS was described as a [[Psychosomatic illness|psychosomatic]] disorder, not explained by any [[Biochemistry|biochemical]] or [[Structural biology|structural]] abnormalities. Apley and Nash conducted a famous study on 1000 children in Bristol, United Kingdom and were the first to describe Recurrent Abdominal Pain (RAP) as the predominant feature of IBS. In 1978, the first diagnostic criteria i.e. the Manning criteria was described. It did not specify any required duration for the symptoms of IBS.The subsequent criteria saw a reduction in the required duration of symptoms to facilitate early diagnosis and treatment. In Rome in 1995, an international group of gastroenterologists defined the diagnostic criteria for IBS and this was published in 1999 under the title of the Rome II criteria. This criteria underwent modification and was described as the Rome III criteria. Since June 2016, the classification being followed is the Rome IV criteria.
 
In Rome in 1995, an international group of gastroenterologists defined the diagnostic criteria for IBS and this was published in 1999 under the title of the Rome II criteria. This criteria underwent modification and was described as the Rome III criteria. Presently, the classification being followed since June 2016 is the Rome IV criteria.


==Historical Perspective==
==Historical Perspective==

Revision as of 00:09, 31 October 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sudarshana Datta, MD [2]

Overview

Irritable Bowel syndrome(IBS) was first mentioned in the Rocky Mountain Medical Journal in 1950. IBS was described as a psychosomatic disorder, not explained by any biochemical or structural abnormalities. Apley and Nash conducted a famous study on 1000 children in Bristol, United Kingdom and were the first to describe Recurrent Abdominal Pain (RAP) as the predominant feature of IBS. In 1978, the first diagnostic criteria i.e. the Manning criteria was described. It did not specify any required duration for the symptoms of IBS.The subsequent criteria saw a reduction in the required duration of symptoms to facilitate early diagnosis and treatment. In Rome in 1995, an international group of gastroenterologists defined the diagnostic criteria for IBS and this was published in 1999 under the title of the Rome II criteria. This criteria underwent modification and was described as the Rome III criteria. Since June 2016, the classification being followed is the Rome IV criteria.

Historical Perspective

Discovery

  • In 1950, the concept of Irritable Bowel syndrome(IBS) was mentioned for the first time without the recognition of any particular etiology, in the Rocky Mountain Medical Journal.
  •  IBS was described as a psychosomatic disorder, not explained by any biochemical or structural abnormalities. [1]
  • In 1958, Apley and Nash conducted a study on 1000 children in Bristol, United Kingdom and were the first to describe Recurrent Abdominal Pain (RAP), as the predominant feature of IBS.
  • RAP was defined as pain in the abdomen occurring over a duration of at least 3 months, with the severity enough to cause significant impairment of function.[2][3]
  • In 1978, the first diagnostic criteria i.e. the Manning criteria was described. It did not specify any requied duration for the symptoms of IBS.
  • In 1984, the Kruris criteria for IBS specified a duration of at least two years of symptoms necessary for diagnosis.
  • In 1990, the Rome  Ⅰ criteria reduced symptom duration to a period of three months to facilitate early diagnosis and intervention.
  • In 1995, an international group of gastroenterologists met in Rome and defined the diagnostic criteria for IBS. IBS was not recognized in children prior to 1995 and affected children were diagnosed with RAP instead.
  • In 1999, the diagnostic criteria for IBS was published under the title of the Rome II criteria.
  • In 2006, the diagnostic criteria for IBS underwent modification with the reduction of symptom duration from three to two months in pediatric patients to allow for early intervention (Rome  Ⅲ). Unlike the Manning criteria, incomplete sense of evacuation is not included under the Rome III criteria.[4]

Famous Cases

  • The following are a few famous cases of IBS:
    • Adolf Hitler
    • John F Kennedy
    • Kurt Cobain

References

  1. BROWN PW (1950). "The irritable bowel syndrome". Rocky Mt Med J. 47 (5): 343–6. PMID 15418074.
  2. APLEY J, NAISH N (1958). "Recurrent abdominal pains: a field survey of 1,000 school children". Arch. Dis. Child. 33 (168): 165–70. PMC 2012205. PMID 13534750.
  3. El-Matary W, Spray C, Sandhu B (2004). "Irritable bowel syndrome: the commonest cause of recurrent abdominal pain in children". Eur. J. Pediatr. 163 (10): 584–8. doi:10.1007/s00431-004-1503-0. PMID 15290263.
  4. Rasquin A, Di Lorenzo C, Forbes D, Guiraldes E, Hyams JS, Staiano A, Walker LS (2006). "Childhood functional gastrointestinal disorders: child/adolescent". Gastroenterology. 130 (5): 1527–37. doi:10.1053/j.gastro.2005.08.063. PMID 16678566.

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