Performance of an algorithm‐based approach to the diagnosis and management of functional gastrointestinal disorders: A pilot trial

Abstract

Background: Recent advances in the development of diagnostic criteria and effective

Faecal calprotectin testing for identifying patients with organic gastrointestinal disease: systematic review and meta‐analysis

“…For patients with non‐specific lower gastrointestinal symptoms, FC testing reduces the risk of missing an organic GID and ensures prompt specialist review if required. A recent Australian study found that FC testing, combined with a routine panel of blood tests, identified patients who needed prompt review by a specialist, improving the safety of local triage practices . By excluding organic GID, findings of non‐elevated FC levels also enable early and reliable diagnosis of a functional GID by general practitioners without gastroenterology referral or further testing.…”

“…A recent Australian study found that FC testing, combined with a routine panel of blood tests, identified patients who needed prompt review by a specialist, improving the safety of local triage practices. 42 By excluding organic GID, findings of non-elevated FC levels also enable early and reliable diagnosis of a functional GID by general practitioners without gastroenterology referral or further testing. Confident diagnosis of a functional GID in primary care is likely to improve patient acceptance of their diagnosis and their uptake of effective management.…”

Fermentable carbohydrates in functional bowel disorders: New insights

“…In view of this knowledge gap, two of these reviews provide clinical guidelines for the implementation of dietary therapies including a low FODMAP diet . Despite these concerns, in a proof‐of‐concept study, an algorithmic approach to diagnosis and management prior to the assessment by a specialist was evaluated and patient introduction of a low FODMAP was reported to be effective …”

“…2,3 Despite these concerns, in a proof-of-concept study, an algorithmic approach to diagnosis and management prior to the assessment by a specialist was evaluated and patient introduction of a low FODMAP was reported to be effective. 4 One of the ongoing issues regarding the low FODMAP diet is its complexity and patient compliance. The low FODMAP diet is designed in three stages, starting with short-term (4-8 weeks)…”

Fermentable carbohydrates in functional bowel disorders: new insights

“…In view of this knowledge gap, two of these reviews provide clinical guidelines for the implementation of dietary therapies including a low FODMAP diet . Despite these concerns, in a proof‐of‐concept study, an algorithmic approach to diagnosis and management prior to assessment by a specialist was evaluated and patient introduction of a low FODMAP was reported to be effective .…”