Manning Criteria in Irritable Bowel Syndrome: Its Diagnostic Significance

BACKGROUND: To facilitate the development of clinical guidelines and to direct future irritable bowel syndrome (IBS) research, insight into the perceptions of patients and general practitioners (GPs) regarding IBS is required.OBJECTIVES : To compare patients’ and GPs’ views on the symptomatology, etiology and treatment of IBS. METHODS: One hundred forty-two IBS patients and 100 GPs were requested to complete a structured questionnaire.RESULTS: The response rates of the patients and GPs were 80% and 47%, respectively. Abdominal pain and bloating were considered to be the most bothersome symptoms in IBS, by both patients and GPs. Although all patients were diagnosed by their GP as having IBS, and 62% met the Manning criteria, only 18% fulfilled the Rome II criteria for IBS. Patients consider food intolerance and GPs regard lack of fibre as the main etiologic dietary factor. Many IBS patients expect a diagnostic work-up, but GPs generally restrict this to elderly patients. GPs start IBS management with dietary advice (94%), counselling (77%) and drug therapy (55%). Patients expect reassurance (47%) and drug treatment (37%), but dietary interventions are less appreciated (9%).CONCLUSIONS: Patients and GPs have different perceptions of the efficacy of diagnostic and dietary interventions in IBS. GPs should explore the patients expectations and incorporate these in their approach to IBS patients.

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A comparison of the Rome and Manning criteria for case identification in epidemiological investigations of irritable bowel syndrome

The American Journal of Gastroenterology ◽

10.1111/j.1572-0241.2000.03192.x ◽

2000 ◽

Vol 95 (10) ◽

pp. 2816-2824 ◽

Cited By ~ 142

Author(s):

Yuri Ann Saito ◽

G. Richard Locke ◽

Nicholas J. Talley ◽

Alan R. Zinsmeister ◽

Sara L. Fett ◽

...

Keyword(s):

Irritable Bowel Syndrome ◽

Case Identification ◽

Irritable Bowel ◽

Manning Criteria

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Diagnostic value of the Manning criteria in irritable bowel syndrome.

Gut ◽

10.1136/gut.31.1.77 ◽

1990 ◽

Vol 31 (1) ◽

pp. 77-81 ◽

Cited By ~ 148

Author(s):

N J Talley ◽

S F Phillips ◽

L J Melton ◽

C Mulvihill ◽

C Wiltgen ◽

...

Keyword(s):

Irritable Bowel Syndrome ◽

Diagnostic Value ◽

Irritable Bowel ◽

Manning Criteria

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A study of irritable bowel syndrome diagnosed by manning criteria in an African population

Digestive Diseases and Sciences ◽

10.1007/bf02064186 ◽

1995 ◽

Vol 40 (5) ◽

pp. 983-985 ◽

Cited By ~ 32

Author(s):

I. O. Olubuyide ◽

F. Olawuyi ◽

A. A. Fasanmade

Keyword(s):

Irritable Bowel Syndrome ◽

African Population ◽

Irritable Bowel ◽

Manning Criteria

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Gender differences in manning criteria in the irritable bowel syndrome

Gastroenterology ◽

10.1016/0016-5085(91)80002-q ◽

1991 ◽

Vol 100 (3) ◽

pp. 591-595 ◽

Cited By ~ 73

Author(s):

Robert C. Smith ◽

David S. Greenbaum ◽

Jeffrey B. Vancouver ◽

Rebecca C. Henry ◽

Mary Ann Reinhart ◽

...

Keyword(s):

Gender Differences ◽

Irritable Bowel Syndrome ◽

Irritable Bowel ◽

Manning Criteria

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A comparison of the rome and manning criteria in identifying individuals with the irritable bowel syndrome

Gastroenterology ◽

10.1016/s0016-5085(98)83380-5 ◽

1998 ◽

Vol 114 ◽

pp. A830 ◽

Cited By ~ 1

Author(s):

YA Saito ◽

GR Locke ◽

NJ Talley ◽

AR Zinsmeister ◽

LJ Melton

Keyword(s):

Irritable Bowel Syndrome ◽

Irritable Bowel ◽

Manning Criteria

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Normal Disaccharidase Activity and Disaccharidase Activity in Patients with Functional Enteropathies

Doctor Ru ◽

10.31550/1727-2378-2021-20-4-55-60 ◽

2021 ◽

Vol 20 (4) ◽

pp. 55-60

Author(s):

E.A. Kondrashova ◽

◽

A.I. Parfenov ◽

◽

Keyword(s):

Irritable Bowel Syndrome ◽

Clinical Course ◽

Diagnostic Significance ◽

Disaccharidase Activity ◽

Key Points ◽

Irritable Bowel ◽

Fodmap Diet ◽

Available Information ◽

Distal Jejunum

Objective of the Review: To demonstrate the role of changes in disaccharidase activity in aetiology and pathogenesis of functional enteropathies (FEP). Key Points. In mid-20th century, Russian scientists found out that jejunum diseases can be caused by impaired membrane digestion (MD). Not it is known that irritable bowel syndrome and other FEPs can mask enteropathies with impaired MD. Conclusion. Measurements of disaccharidase activity in duodenum mucosa are a method of choice in diagnosing enteropathies with impaired MD. The information on disaccharidase activity in ileum have not been described in any references. It is assumed that disaccharidase measurements in distal jejunum can be of extra diagnostic significance in examination of patients with FEP. Available information will make it possible to propose an up-to-date concept of aetiology, pathogenesis, clinical course, diagnosis and management of disaccharidase deficiency. Keywords: irritable bowel syndrome, disaccharidases, membrane digestion, A. M. Ugolev, Dahlquist method, FODMAP diet, Rebamipide, probiotics.

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