J Neurogastroenterol Motil.
2018 Apr;24(2):197-215. 10.5056/jnm17145.
Clinical Practice Guidelines for Irritable Bowel Syndrome in Korea, 2017 Revised Edition
- Affiliations
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- 1Department of Internal Medicine, Konyang University College of Medicine, Daejeon, Korea.
- 2Konyang University Myunggok Medical Research Institute Daejeon, Korea.
- 3Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea. junghk@ewha.ac.kr
- 4Department of Internal Medicine, Gyeongsang National University, College of Medicine, Jinju, Korea.
- 5Department of Internal Medicine, Kyungpook National University, School of Medicine, Daegu, Korea.
- 6Department of Internal Medicine, Dankook University College of Medicine, Cheonan, Korea.
- 7Department of Internal Medicine, Yongin Severance Hospital, Yonsei University College of Medicine, Yongin, Korea.
- 8Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea.
- 9Department of Internal Medicine, Sungkyunkwan University School of Medicine, Changwon, Korea.
- 10Department of Internal Medicine, Konkuk University School of Medicine, Seoul, Korea.
- 11Department of Preventive Medicine, Korea University College of Medicine, Seoul, Korea.
- KMID: 2413096
- DOI: http://doi.org/10.5056/jnm17145
Abstract
- In 2011, the Korean Society of Neurogastroenterology and Motility (KSNM) published clinical practice guidelines on the management of irritable bowel syndrome (IBS) based on a systematic review of the literature. The KSNM planned to update the clinical practice guidelines to support primary physicians, reduce the socioeconomic burden of IBS, and reflect advances in the pathophysiology and management of IBS. The present revised version of the guidelines is in continuity with the previous version and targets adults diagnosed with, or suspected to have, IBS. A librarian created a literature search query, and a systematic review was conducted to identify candidate guidelines. Feasible documents were verified based on predetermined inclusion and exclusion criteria. The candidate seed guidelines were fully evaluated by the Guidelines Development Committee using the Appraisal of Guidelines for Research and Evaluation II quality assessment tool. After selecting 7 seed guidelines, the committee prepared evidence summaries to generate data exaction tables. These summaries comprised the 4 main themes of this version of the guidelines: colonoscopy; a diet low in fermentable oligosaccharides, disaccharides, monosaccharides, and polyols; probiotics; and rifaximin. To adopt the core recommendations of the guidelines, the Delphi technique (ie, a panel of experts on IBS) was used. To enhance dissemination of the clinical practice guidelines, a Korean version will be made available, and a food calendar for patients with IBS is produced.
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