title: Diagnosis and management of functional symptoms in inflammatory bowel disease in remission.
abstract: Inflammatory bowel disease (IBD) patients in remission may suffer from gastrointestinal symptoms that resemble irritable bowel syndrome (IBS). Knowledge on this issue has increased considerably in the last decade, and it is our intention to review and summarize it in the present work. We describe a problematic that comprises physiopathological uncertainties, diagnostic difficulties, as IBS-like symptoms are very similar to those produced by an inflammatory flare, and the necessity of appropriate management of these patients, who, although in remission, have impaired quality of life. Ultimately, from almost a philosophical point of view, the presence of IBS-like symptoms in IBD patients in remission supposes a challenge to the traditional functional-organic dichotomy, suggesting the need for a change of paradigm.
authors: Carlos Teruel, Elena Garrido, Francisco Mesonero, Gastroenterology Department, Hospital Ramón y Cajal, 28034 Madrid, Spain.
authors: Carlos
authors: C
authors: Teruel
authors: Carlos Teruel, Elena Garrido, Francisco Mesonero, Gastroenterology Department, Hospital Ramón y Cajal, 28034 Madrid, Spain.
authors: Elena
authors: E
authors: Garrido
authors: Carlos Teruel, Elena Garrido, Francisco Mesonero, Gastroenterology Department, Hospital Ramón y Cajal, 28034 Madrid, Spain.
authors: Francisco
authors: F
authors: Mesonero
keywords: Crohn’s disease; Functional gastrointestinal disease; Inflammatory bowel disease; Irritable bowel syndrome; Ulcerative colitis