Est-il possible de faire un diagnostic positif du syndrome de l’intestin irritable ?

Is a positive diagnostic strategy possible for patients with irritable bowel syndrome?

Résumé

Le diagnostic du syndrome de l’intestin irritable (SII) est clinique, basé sur les critères de Rome III. La recherche de signes cliniques d’alarme devant faire rechercher une pathologie organique est une étape essentielle dans la prise en charge initiale. L’âge supérieur à 50 ans, la présence de sang dans les selles et une diarrhée semblent être les 3 signes d’alarme les plus pertinents. Les examens complémentaires, biologiques et morphologiques, doivent être réalisés avec discernement, leur rentabilité diagnostique est faible chez des patients répondant aux critères de Rome. Dans la majorité des situations rencontrées en pratique quotidienne, un diagnostic positif de SII peut être posé sans recourir à de multiples examens complémentaires.

Abstract

The diagnosis of irritable bowel syndrome (IBS) is a clinical diagnosis, based on Rome III criteria. The identification of alarm signs, red flags, associated with an organic digestive disease is a key-point during the initial screening. Age higher than fifty, blood in faeces and diarrhoea seem to be the 3 most specific red flags. Biological and morphological examinations must be performed cautiously, their profitability is weak in patients having Rome criteria. In the majority of clinical situations during daily clinical practice, a positive diagnosis of IBS can be performed.

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Correspondence to B. Coffin.

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Coffin, B. Est-il possible de faire un diagnostic positif du syndrome de l’intestin irritable ?. Colon Rectum 7, 67–74 (2013). https://doi.org/10.1007/s11725-013-0450-1

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Mots clés

  • Syndrome de l’intestin irritable
  • Critères de Rome
  • Signe d’alarme
  • Diagnostic

Keywords

  • Irritable bowel syndrome
  • IBS
  • Rome criteria
  • Alarm signs
  • Diagnosis