The Incidence of Abdominal and Pelvic Surgery Among Patients with Irritable Bowel Syndrome

  title={The Incidence of Abdominal and Pelvic Surgery Among Patients with Irritable Bowel Syndrome},
  author={Jazmin A. Cole and Jason Yeaw and Jennifer A. Cutone and Braden Kuo and Zhiping Huang and David L. Earnest and Alexander M. Walker},
  journal={Digestive Diseases and Sciences},
Rates of abdominopelvic surgery, with a particular focus on gallbladder procedures, were measured in patients with irritable bowel syndrome (IBS) (n= 108,936) and compared with those in a general population sample (n= 223,082). The patient sample was selected from persons who were members of a managed care organization during the years 1995–2000. Medical records from a randomly selected subset of IBS patients were reviewed to confirm the diagnosis. Crude and standardized rates and adjusted rate… 

Prevalence of Abdominal and Pelvic Surgeries in Patients With Irritable Bowel Syndrome: Comparison Between Caucasian and African Americans

Based on responses to ROME II criteria questionnaire administered to community at large, IBS is not associated with greater prevalence of abdominal and pelvic surgeries, and Caucasians are more likely to have these surgeries irrespective of whether they have IBS or not.

Factors associated with more frequent diagnostic tests and procedures in patients with irritable bowel syndrome

Test frequency in patients with IBS is strongly associated with demographic and clinical characteristics, especially comorbid conditions related to IBS, so curtailing redundant testing and reducing healthcare costs should be curtailed.

The Zelnorm epidemiologic study (ZEST): a cohort study evaluating incidence of abdominal and pelvic surgery related to tegaserod treatment

In this study, tegaserod use was not found to increase the risk of abdominal or pelvic surgery nor the specific subset of gallbladder surgery.

Acute Abdominal Pain in Irritable Bowel Syndrome Patients: Not Always an Acute Exacerbation

A 36-year-old man presented to the Accident and Emergency department with lower abdominal discomfort and bloating and was diagnosed with IBS and chronic hepatitis B infection a few years ago and had been under regular follow-up.

An Observational Study of Cholecystectomy in Patients Receiving Tegaserod

A strong temporal association between the initiation of tegaserod therapy and an increased rate for cholecystectomy is reported based on a large, inception cohort of patients within the US with commercial medical insurance.

Improved health-related quality of life after surgical management of severe refractory constipation-dominant irritable bowel syndrome.

After surgical management, HRQOL in patients with severe constipation-dominant IBS improved from drastically below that of Canadian norms to a comparable level, demonstrating that surgical management may be suitable for the appropriately screened patient.

Irritable Bowel Syndrome as an Interdisciplinary Clinical Problem

Treatment should be targeted at mechanisms that apply across various disorders, such as impaired stress responsiveness and pain modulation at the central nervous system level, including both pharmacological (antidepressants and CRF1 receptor antagonists) and non−pharmacological (cognitive behavioral therapy) approaches.

Leukocyte differential for acute abdominal pain in adults.

Lymphopenia associated with eosinopenia and significant neutrophilia is highly suggestive of a more severe illness, and should be considered in medical admissions of adults with abdominal pain.



The risk of abdominal surgery in irritable bowel syndrome.

  • D. Burns
  • Medicine
    South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde
  • 1986
The incidences of appendicectomy, hysterectomy and ovarian surgery have been compared in 145 patients with irritable bowel syndrome and 63 patients with ulcerative colitis and doctors should be aware of this problem when dealing with these cases.

Irritable bowel syndrome and surgery: a multivariable analysis.

Health examinees with physician-diagnosed IBS report rates of cholecystectomy 3-fold higher, appendectomy and hysterectomy 2-foldHigher, and back surgery 50% higher than examinees without IBS; IBS is independently associated with these surgical procedures.

Occurrence of Colon Ischemia in Relation to Irritable Bowel Syndrome

Rates of colon ischemia among patients carrying a diagnosis of IBS are substantially higher than in the general population and in people with IBS, and after adjustment for age, sex, and calendar year, the incidence was 3.4 timesHigher than in persons without.

Epidemiology of cholecystectomy and irritable bowel syndrome in a UK population

The prevalence of cholecystectomy and IBS in a sample of British adults in Teesside and Associations between the two conditions and their relationship to consultation behaviour and socioeconomic status are described.

Irritable bowel syndrome in a community: symptom subgroups, risk factors, and health care utilization.

It is concluded that the onset of IBS may not be limited to early adulthood and that subgroups of Ibs based on bowel patterns may not identify clinically distinct entities.

Rectal distention testing in patients with irritable bowel syndrome: sensitivity, specificity, and predictive values of pain sensory thresholds.

Lowered rectal pain threshold is a hallmark of IBS patients and rectal barostat testing is useful to confirm the diagnosis ofIBS and to discriminate IBS from other causes of abdominal pain.

Irritable bowel syndrome: definition, diagnosis and epidemiology.

  • N. Talley
  • Medicine
    Bailliere's best practice & research. Clinical gastroenterology
  • 1999
The development of acceptable, symptom-based diagnostic criteria has advanced the field, stimulating interest in the pathophysiology and targeted pharmacological therapy, which are essential steps if the disease burden is to be reduced.

Relationship of abdominal bloating to distention in irritable bowel syndrome and effect of bowel habit.

Bloating and distention may differ pathophysiologically and this appears to be reflected in the bowel habit subtype, and abdominal distention is a clearly definable phenomenon in IBS that can reach 12 cm.

[Irritable bowel syndrome].

Full-thickness biopsy of the jejunum reveals inflammation and enteric neuropathy in irritable bowel syndrome.

The findings indicate that inflammation and neuronal degeneration in the myenteric plexus are involved in the pathogenesis of IBS.