Functional Gastrointestinal Disorders in Patients with Inflammatory Bowel Disease

Abstract

With emerging more effective drugs, the therapeutic goal of inflammatory bowel disease (IBD) has progressed from clinical remission to mucosal healing. Although the inflammation could be controlled more effectively than before, symptoms such as abdominal pain and bowel habit change is still bothersome to some IBD patients. Recently, these "refractory functional gastrointestinal symptoms" in quiescent IBD patients has been paid more attention. The pathophysiology could be multifactorial with genetics, change in gut motility associated with post inflammatory condition, increased permeability, impaired colorectal function, visceral hypersensitivity and gut microbiota. Because both IBD and functional gastrointestinal disease (FGID) could share similar symptoms and some pathophysiology, it is sometimes challenging to distinguish them exactly. However, to reduce the risk of overtreatment or insufficient control of inflammation, exact diagnosis of functional disease or symptoms in quiescent IBD patients is important. Because there is limited randomized controlled trials or prospective study currently, most of the therapeutic approach in IBD patients are empirical or referred to those of functional gastrointestinal disorders. However, approaches based on pathophysiological mechanisms could give appropriate therapies for both IBD and FGIDs.

Differential Diagnosis of Inflammatory Bowel Disease and Functional Bowel Disorder in Children Based on Ultrasonography

“…2024;9(2):56-63. https://doi.org/10. 35401/2541-9897-2024-9-2-56-63 Введение Рост и широкое распространение воспалительных заболеваний кишечника (ВЗК) у детей [1] с ранней манифестацией, большим сходством в клинических симптомах с функциональными нарушениями кишечника (ФНК) [2] на начальных этапах формирования заболевания, тяжестью течения с высокой резистивностью к терапии и ранними ургентными осложнениями [3] диктуют необходимость поиска эффективного метода диагностики этой патологии. При первичном обращении пациента к гастроэнтерологу перед врачом встает вопрос: связаны ли жалобы с функциональными нарушениями или вызваны патологией стенки кишечника, требующей специализированной помощи [4]?…”