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Korean J Gastroenterol  <  Volume 73(2); 2019 <  Articles

Korean J Gastroenterol 2019; 73(2): 84-91  https://doi.org/10.4166/kjg.2019.73.2.84
Irritable Bowel Syndrome
Jae Hak Kim and Sam Ryong Jee1
Department of Internal Medicine, Dongguk University College of Medicine, Goyang; Department of Internal Medicine, Inje University College of Medicine1, Busan, Korea
Correspondence to: Sam Ryong Jee, Department of Internal Medicine, Inje University College of Medicine, 75 Bokji-ro, Busanjin-gu, Busan 47392, Korea. Tel: +82-51-890-6536, Fax: +82-51-892-0273, E-mail: srjee@inje.ac.kr, ORCID: https://orcid.org/0000-0002-7928-1153
Received: December 28, 2018; Revised: January 28, 2019; Accepted: February 1, 2019; Published online: February 25, 2019.
© The Korean Journal of Gastroenterology. All rights reserved.

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Irritable bowel syndrome (IBS) is a common functional gastrointestinal disorder. Its diagnosis is based on symptoms, and the Rome IV criteria are recognized as the gold diagnostic standard. The Korean Society of Neurogastroenterology and Motility (KSNM) recently updated their clinical practice guidelines for the treatment of IBS, which were last issued in 2011. In this updated edition, the KSNM defines IBS as a chronic, recurrent symptom complex that includes abdominal pain or discomfort, changes in bowel habits, and bloating for at least 6 months, which is somewhat broader than the previous definition. Four major topics have been changed in the up-dated version in-line with the results of recent studies, that is, colonoscopy; a diet low in fermentable oligosaccharides, disaccharides, monosaccharides, and polyols; probiotics; and rifaximin. Herein, we review the 2017 revised edition of the KSNM with respect to recommended clinical practice guidelines for IBS and compare these with other guidelines.
Keywords: Irritable bowel syndrome; Practice guideline; Evidence-based practice


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