KEGG   DISEASE: 過敏大腸症
エントリ  
H01615                                                             
名称    
過敏大腸症;
イリタブルコロン
概要    
Irritable bowel syndrome (IBS) is a common functional gastrointestinal disorder. It is characterized by symptoms of abdominal pain, bloating, and abnormal bowel movements, such as diarrhea or constipation. In IBS, there appears to be no organic substance or biochemical abnormality that can explain the symptoms. IBS can be classified into categories: constipation predominant IBS (IBS-C), diarrhea predominant IBS (IBS-D), mixed IBS (IBS-M), and un-subtyped IBS. Anticholinergic drugs, 5-HT3 receptor antagonist, high molecular weight polymers (polycarbophil calcium), gastrointestinal motility regulators, probiotics preparations, and laxatives are used in the treatment of IBS. However, they are not uniformly effective. Several studies of patients with IBS suggest that this disorder aggregates in families, and thus, appears potentially heritable. It has been reported that familial GUCY2C diarrhoea syndrome shares clinical characteristics with IBS-D.
カテゴリ  
消化器系疾患
階層分類  
ICD-11 による疾患分類 [BR:jp08403]
 13 消化器系の疾患
  機能性消化管疾患
   DD91  過敏性腸症候群または明示された機能性腸疾患
    H01615  過敏大腸症
パスウェイ 
hsa00230  Purine metabolism
病因遺伝子 
GUCY2C [HSA:2984] [KO:K12320]
治療薬   
オキセサゼイン [DR:D01152]
プロパンテリン臭化物 [DR:D00481]
メペンゾラート臭化物 [DR:D00720]
チキジウム臭化物 [DR:D01875]
ラモセトロン塩酸塩 [DR:D02016]
トリメブチンマレイン酸塩 [DR:D01500]
ポリカルボフィルカルシウム [DR:D03306]
リナクロチド [DR:D09355]
リンク   
ICD-11: DD91.0
MeSH: D043183
OMIM: 614616
文献    
  著者
Saito YA
  タイトル
The role of genetics in IBS.
  雑誌
Gastroenterol Clin North Am 40:45-67 (2011)
DOI:10.1016/j.gtc.2010.12.011
文献    
  著者
Shah SL, Lacy BE
  タイトル
Dietary Interventions and Irritable Bowel Syndrome: A Review of the Evidence.
  雑誌
Curr Gastroenterol Rep 18:41 (2016)
DOI:10.1007/s11894-016-0517-x
文献    
  著者
von Volkmann HL, Nylund K, Tronstad RR, Hovdenak N, Hausken T, Fiskerstrand T, Gilja OH
  タイトル
An activating gucy2c mutation causes impaired contractility and fluid stagnation in the small bowel.
  雑誌
Scand J Gastroenterol 1-8 (2016)
DOI:10.1080/00365521.2016.1200139
文献    
  著者
Kobayashi S, Ikeda K, Suzuki M, Yamada T, Miyata K
  タイトル
Effects of YM905, a novel muscarinic M3-receptor antagonist, on experimental models of bowel dysfunction in vivo.
  雑誌
Jpn J Pharmacol 86:281-8 (2001)
DOI:10.1254/jjp.86.281
文献    
  著者
Fukushima Y, Suzuki H, Matsuzaki J, Kiyosue A, Hibi T
  タイトル
Efficacy of Solifenacin on Irritable Bowel Syndrome With Diarrhea: Open-label Prospective Pilot Trial.
  雑誌
J Neurogastroenterol Motil 18:317-23 (2012)
DOI:10.5056/jnm.2012.18.3.317
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