Romanian Guidelines for Nonpharmacological Therapy of IBS
Dan L. Dumitraşcu, Adriana Băban, Ion Băncilă, Oana Bărboi, Simona Bățagă, Alexandra Chira, Ioan Chirilă, Cristina Cijevschi Prelipcean, Lidia Ciobanu, Anamaria Cozma-Petruț, Liliana David, Mircea Diculescu, Daniela Dobru, Anca Dimitriu, Eugen Dumitru, Mihaela Fadgyas Stănculete, Cristian Gheorghe, Georgiana-Emmanuela Gîlcă-Blanariu, Adrian Goldiș, Simona Grad, Melania Macarie, Cristina Maria Sabo, Doina Miere, Laurențiu Nedelcu, Anca Negovan, Cristina Pojoga, Andrei Pop, Stefan‐Lucian Popa, Paul J. Porr, Flaviu Rusu, Andrada Seicean, Ioan Sporea, Tudor Stroie, Teodora Blaga-Surdea, Cristina Tocia, Anca Trifan, Ciprian Brisc, Vasile Drug
Abstract
BACKGROUND AND AIMS: The nonpharmacological therapy in irritable bowel syndrome (IBS) is expanding rapidly. Practitioners and medical educators need to be aware of progress and changes in knowledge of this topic. The Romanian Society of Neurogastroenterology aimed to create guidelines based on best evidence on the use of nonpharmacological therapy in IBS. METHODS: A group of experts was constituted. This was divided in eleven subgroups dedicated to eleven categories of nonpharmacological therapy. The subgroups searched the literature and formulated statements and recommendations. These were submitted to vote in order to obtain consensus. RESULTS: The outcome of this activity is represented by the guidelines of the Romanian Society of Neurogastroenterology, presented in this paper. The recommendations are seen as complementary to the pharmacological therapy and are not intended to recommend avoiding pharmacological drugs. CONCLUSIONS: These guidelines were elaborated by a Delphi process and represent a useful tool for physicians managing patients with IBS.