Comparative of relation of American, German, French and Russian guidelines on irritable bowel syndrome management

Abstract

Aim of review. To compare the American, German, French and Russian guidelines on irritable bowel syndrome (IBS) management. Summary. According to the American and French guidelines, the diagnosis of IBS should be made mainly according to compliance of clinical symptoms to Rome criteria of IBS, whereas German and Russian guidelines determine these symptoms as nonspecific and consider the diagnosis of IBS as the diagnosis of exclusion which can be made only after careful investigation of patients. At definition of treatment approaches the American guidelines do not include general actions, consider dietic modifications as insufficiently effective as well as with such drugs as antispasmodics, polyethyleneglycol and probiotics. On the contrary, the German, French and Russian guidelines pay special attention to general recommendations and dietary modification and consider above-mentioned pharmaceuticals as quite effective. Conclusion. Presented guidelines are similar to each other in respect of their plot; however significantly differ in diagnostic approach to IBS and assessment of efficacy of series of drugs. Key words: irritable bowel syndrome, diagnosis, treatment.