ĐẶC ĐIỂM LÂM SÀNG VÀ HÌNH ẢNH NỘI SOI ĐẠI TRÀNG BỆNH NHÂN CÓ HỘI CHỨNG RUỘT KÍCH THÍCH THEO TIÊU CHUẨN ROME IV

Abstract

Background: Irritable bowel syndrome (IBS) is one of the commonest functional bowel disorders. The Rome IV criteria for the diagnosis of irritable bowel syndrome require that patients have had recurrent abdominal pain on average at least 1 day per week during the previous 3 months that is associated with abdominal pain, defecation or a change in bowel habit. Patients with colitis, polyp and colorectal cancer have IBS-like symptoms but include alarm features. Objectives: Describe clinical characteristics, endoscopic images of patients with irritable bowel syndrome according to Rome IV criteria. Materials and methods: A cross-sectional study was conducted on 187 patients, recording symptoms and colonoscopy results of patients 18 years and older who underwent colonoscopy at gastrointestinal endoscopy center of Can Tho University of Medicine and Pharmacy Hospital (from 2021- 2022). Results: 187 patients who underwent colonoscopy were included in the study, 54% had lesions, including: 60.3% with alarm features and 41% were without any alarm features. There were 17.6% colitis, 36.9% polyp, 13.4% diverticula. Conclusions: In the group of patients having abnormal colonoscopy results, the majority had alarm features but there were some other cases without alarm features. Therefore, in the process of diagnosing IBS, attention should be paid to eliminating these risk factors. Colorectal endoscopy should be performed as a screening test for damage or disease in the digestive tract.