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Title:Irritable bowel syndrome : is an effective solution still elusive?
Authors:ID Globočnik, Ana (Author)
ID Ocepek, Andreja (Author)
Files:.pdf RAZ_Globocnik_Ana_2025.pdf (154,28 KB)
MD5: 6D5A45F9C6DA8789CD447B0198C8F5D5
 
URL https://journals.um.si/index.php/amb/article/view/5362
 
Language:English
Work type:Scientific work
Typology:1.02 - Review Article
Organization:MF - Faculty of Medicine
Abstract:Irritable bowel syndrome (IBS) is classified as a disorder of the gutbrain interaction. IBS presents an ongoing challenge for patients and healthcare professionals due to the complexity of the underlying pathophysiology. It is important to approach the patient with IBS in a stepwise manner, beginning with the exclusion of alarming symptoms and other conditions, such as inflammatory bowel disease, colorectal cancer, celiac disease, diverticulitis, carbohydrate malabsorption or maldigestion, chronic pancreatitis, neuroendocrine tumours, hyperthyroidism, small intestinal bacterial overgrowth, bile acid malabsorption or idiopathic bile acid diarrhoea, and gastrointestinal infections, which often have more straightforward or effective treatment. When the diagnosis of IBS is established, the focus is on therapy aimed at alleviating symptoms, such as pain, bloating, and altered bowel habits. Management of IBS includes a strong patient-physician relationship, lifestyle modifications (physical activity and dietary changes), analysing the gut microbiota, using probiotics, pharmacologic therapy, and psychological support, including psychotherapy and stress modulation.
Keywords:irritable bowel syndrome, diet, microbiota, probiotics, prebiotics, Rome IV
Publication status:Published
Publication version:Version of Record
Submitted for review:28.08.2025
Article acceptance date:23.09.2025
Publication date:01.01.2025
Publisher:MF UM
Year of publishing:2025
Number of pages:str. 41-47
Numbering:Letn. 18, št. 2
PID:20.500.12556/DKUM-96911 New window
UDC:616.34
ISSN on article:1855-5640
COBISS.SI-ID:262873603 New window
DOI:10.18690/actabiomed.289 New window
Publication date in DKUM:02.02.2026
Views:246
Downloads:13
Metadata:XML DC-XML DC-RDF
Categories:Misc.
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Record is a part of a journal

Title:Acta medico-biotechnica : AMB
Publisher:Medicinska fakulteta, Medicinska fakulteta, Univerzitetna založba Univerze v Mariboru
ISSN:1855-5640
COBISS.SI-ID:242526720 New window

Licences

License:CC BY 4.0, Creative Commons Attribution 4.0 International
Link:http://creativecommons.org/licenses/by/4.0/
Description:This is the standard Creative Commons license that gives others maximum freedom to do what they want with the work as long as they credit the author.

Secondary language

Language:Slovenian
Title:Sindrom razdražljivega črevesja : ali je učinkovita rešitev še vedno tako nedosegljiva?
Abstract:Sindrom razdražljivega črevesja (SRČ) spada med motnje v interakciji med črevesjem in možgani ter zaradi svoje kompleksne patofiziologije predstavlja diagnostični in terapevtski izziv tako za bolnike kot tudi zdravstvene strokovnjake. K obravnavi bolnika je treba pristopiti postopno – z natančno klinično oceno, izključitvijo alarmnih simptomov in diferencialno diagnostično obravnavo drugih obolenj, kot so kronična vnetna črevesna bolezen, rak debelega črevesa in danke, celiakija, divertikulitis, malabsorbcija ogljikovih hidratov, kronični pankreatitis, nevroendokrini tumorji, hipertiroidizem, bakterijska razrast tankega črevesja in gastrointestinalne okužbe, ki jih je mogoče zdraviti bolj specifično ali uspešnejše. Po potrjeni diagnozi je terapevtski pristop usmerjen v ublažitev glavnih simptomov, kot so abdominalna bolečina, napihnjenost ter spremenjena frekvenca in konsistenca blata. Celostno vodenje bolnika vključuje vzpostavitev trdnega terapevtskega odnosa med zdravnikom in bolnikom, spremembo življenjskega sloga (vključno s telesno vadbo in prehrano), oceno črevesne mikrobiote, uporabo probiotikov, individualno prilagojeno farmakološko terapijo ter psihološke pristope, kot sta psihoterapija in obvladovanje stresa. Kljub mnogim, že dostopnim terapevtskim možnostim, ostaja iskanje optimalne in dolgoročno učinkovite rešitve za SRČ še vedno aktualen izziv.
Keywords:sindrom razdražljivega črevesja, prehrana, mikrobiota, probiotiki, prebiotiki, Rome IV


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This document is a part of these collections:
  1. Acta medico-biotechnica

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