Penatalaksanaan Irritable Bowel Syndrome (IBS)

Oleh :

dr.Eduward Thendiono, SpPD,FINASIM,Fellow IDF

Penatalaksanaan irritable bowel syndrome (IBS) meliputi edukasi dan reassurance, modifikasi diet, serta terapi farmakologi sesuai tanda, gejala, dan subtipe irritable bowel syndrome.[1,3,10]

Edukasi dan Reassurance

Sangat penting untuk membina hubungan pasien dan dokter yang kokoh, karena penyakit IBS bersifat kronis. Edukasi ditekankan terhadap penyebab, pemeriksaan yang perlu dilakukan, reassurance terhadap prognosis, serta melibatkan pasien dalam memilih terapi yang bermanfaat untuk mengurangi gejala.[1,3,4,10]

Referensi

1. Sayuk G.S, Gyawali C.P. Irritable Bowel Syndrome: Modern Concepts and Management Options. Amj Med.2015. 28, 817-827. http://dx.doi.org/ 10.1016/ j.amjmed. 2015.01.036.
2. Clinical manifestations and diagnosis of irritable bowel syndrome. UpToDate. 2022. https://www.uptodate.com/contents/clinical-manifestations-and-diagnosis-of-irritable-bowel-syndrome-in-adults.
3. Lehrer. JK. Irritable Bowel Syndrome. Medscape. 2022. https://emedicine.medscape.com/article/180389-overview.
4. Wald A. Patient Information: Irritable Bowel Syndrome (Beyond the basics). UpToDate. 2014. https://www. uptodate.com /contents/irritable-bowel-syndrome-beyond-the-basics.
10. Wald A. Treatment of irritable bowel syndrome in adults. UpToDate. 2022. https://www.uptodate.com/contents/treatment-of-irritable-bowel-syndrome-in-adults.
11. Muir JG, Gibson PR. The low FODMAP diet For treatment of irritable bowel syndrome and other gastrointestinal disorders. Gastroenterol Hepatol. 2013;9:450-452. PMC.PMID: 23935555
12. Staudacher HM, Irving PM, Lomer MC, Whelan K. Mechanisms and efficacy of dietary FODMAP restriction in IBS. Nat Rev Gastroenterol Hepatol. 2014;11:256-266. doi: 10.1038/nrgastro.2013.259.
13. Vazquez-Roque MI, Camilleri M, Smyrk T, et al. A controlled trial of gluten-free diet in patients with irritable bowel syndrome-diarrhea: effects on bowel frequency and intestinal function. Gastroenterology. 2013;144:903-911 e3. doi: 10.1053/j.gastro.2013.01.049.
14. Ruepert L, Quartero AO, de Wit NJ, et al. Bulking agents, antispasmodics and antidepressants for the treatment of irritable bowel syndrome. Cochrane Database Syst Rev 2011;(8):CD003460. doi: 10.1002/14651858.CD003460.pub3.
15. Pimentel M, Lembo A, Chey WD, et al. Rifaximin therapy for patients with irritable bowel syndrome without constipation. N Engl J Med. 2011;364:22-32. doi: 10.1056/NEJMoa1004409.
16. Menees SB, Maneerattannaporn M, Kim HM, Chey WD. The efficacy and safety of rifaximin for the irritable bowel syndrome: a systematic review and metaanalysis. AmJGastroenterol. 2012;107:28-35, quiz 36. doi: 10. 1038 /ajg. 2011. 355.
17. Vazquez-Roque MI, Bouras EP. Linaclotide, novel therapy for the treatment of chronic idiopathic constipation and constipation predominant irritable bowel syndrome. Adv Ther. 2013;30:203-211. PMC. PMID: 24683372.
18. Black CJ, Ford AC. Probiotics for Treating Irritable Bowel Syndrome: Are Bugs the Best Drugs? Gastroenterology, 2018. doi:10.1053/j.gastro.2018.11.015
19. American College of Gastroenterology. An Evidence-Based Position Statement on the Management of Irritable Bowel Syndrome. The American Journal of Gastroenterology, 2009. 104(S1), S1–S35. doi:10.1038/ajg.2008.122
20. Zijdenbos IL, de Wit NJ, van der Heijden GJ, Rubin G, Quartero AO. Psychological treatments for the management of irritable bowel syndrome. Cochrane Database of Systematic Reviews 2009, Issue 1. Art. No.: CD006442. DOI: 10.1002/14651858.CD006442.pub2
21. Kinsinger SW. Cognitive-behavioral therapy for patients with irritable bowel syndrome: current insights. Psychol Res Behav Manag. 2017;10:231–237. Published 2017. doi:10.2147/PRBM.S120817

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