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Article Open Access

Overlapping of irritable bowel syndrome with erosive esophagitis and the performance of Rome criteria in diagnosing IBS in a clinical setting

  • Authors:
    • Magdy El‑Salhy
    • Odd Helge Gilja
    • Jan Gunnar Hatlebakk
  • View Affiliations / Copyright

    Affiliations: Section for Gastroenterology, Department of Medicine, Stord Hospital, 5416 Stord, Norway, Department of Clinical Medicine, University of Bergen, 5007 Bergen, Norway
    Copyright: © El‑Salhy et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Pages: 787-794
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    Published online on: May 23, 2019
       https://doi.org/10.3892/mmr.2019.10284
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Abstract

Irritable bowel syndrome (IBS) and gastroesophageal reflux disease (GERD) overlap. It is not clear whether GERD is caused by non‑erosive esophagitis, or erosive esophagitis. The Rome criteria are not widely used for the diagnosis of IBS in the clinic. In total, 1,489 IBS patients without red flags were included in the present retrospective study. They comprised of 1,331 females and 158 males with a mean age of 51 years. The diagnosis of IBS was verified by endoscopic and histopathological examinations. Whereas erosive esophagitis occurred in 97% of patients, only 66% had GERD symptoms. Endoscopy and histopathological examinations revealed that 1.4% of the IBS patients with diarrhea as the predominant symptom had other organic gastrointestinal diseases: 0.3% with celiac disease, 0.2% with Crohn's disease, 0.07% with ulcerative colitis, 0.6% with microscopic colitis, and 0.2% with colon cancer. Applying the Rome III criteria produced a sensitivity of 100% [95% confidence intervals (CI)=99.8‑100.0%] a specificity of 98.7% (95% CI=98.0‑99.2%), a positive likelihood ratio of 76.9%, and a negative likelihood ratio of 0%. IBS is associated with erosive esophagitis. Applying Rome III criteria without red flags and history, was effective in diagnosing IBS. Celiac disease and microscopic colitis should be considered as alternative diagnoses.
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Copy and paste a formatted citation
Spandidos Publications style
El‑Salhy M, Gilja OH and Hatlebakk JG: Overlapping of irritable bowel syndrome with erosive esophagitis and the performance of Rome criteria in diagnosing IBS in a clinical setting. Mol Med Rep 20: 787-794, 2019.
APA
El‑Salhy, M., Gilja, O.H., & Hatlebakk, J.G. (2019). Overlapping of irritable bowel syndrome with erosive esophagitis and the performance of Rome criteria in diagnosing IBS in a clinical setting. Molecular Medicine Reports, 20, 787-794. https://doi.org/10.3892/mmr.2019.10284
MLA
El‑Salhy, M., Gilja, O. H., Hatlebakk, J. G."Overlapping of irritable bowel syndrome with erosive esophagitis and the performance of Rome criteria in diagnosing IBS in a clinical setting". Molecular Medicine Reports 20.1 (2019): 787-794.
Chicago
El‑Salhy, M., Gilja, O. H., Hatlebakk, J. G."Overlapping of irritable bowel syndrome with erosive esophagitis and the performance of Rome criteria in diagnosing IBS in a clinical setting". Molecular Medicine Reports 20, no. 1 (2019): 787-794. https://doi.org/10.3892/mmr.2019.10284
Copy and paste a formatted citation
x
Spandidos Publications style
El‑Salhy M, Gilja OH and Hatlebakk JG: Overlapping of irritable bowel syndrome with erosive esophagitis and the performance of Rome criteria in diagnosing IBS in a clinical setting. Mol Med Rep 20: 787-794, 2019.
APA
El‑Salhy, M., Gilja, O.H., & Hatlebakk, J.G. (2019). Overlapping of irritable bowel syndrome with erosive esophagitis and the performance of Rome criteria in diagnosing IBS in a clinical setting. Molecular Medicine Reports, 20, 787-794. https://doi.org/10.3892/mmr.2019.10284
MLA
El‑Salhy, M., Gilja, O. H., Hatlebakk, J. G."Overlapping of irritable bowel syndrome with erosive esophagitis and the performance of Rome criteria in diagnosing IBS in a clinical setting". Molecular Medicine Reports 20.1 (2019): 787-794.
Chicago
El‑Salhy, M., Gilja, O. H., Hatlebakk, J. G."Overlapping of irritable bowel syndrome with erosive esophagitis and the performance of Rome criteria in diagnosing IBS in a clinical setting". Molecular Medicine Reports 20, no. 1 (2019): 787-794. https://doi.org/10.3892/mmr.2019.10284
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