Screening irritable bowel syndrome patients for symptoms predictive of crohn's disease using the red flag score

• DOI: 10.4103/sjg.sjg_601_16
• Publication Date: 2023-03-21T10:55:02Z
• Authors: Mahmoud Mosli; Mutaz Bamarhul; Abdulrahman Alharbi; Sohaib Shafei; Ahmad Alharbi; Khalid Bamahfouth; Hani Jawa; Emad Aljahdali; Salim Bazaraa; Yousif Qari
• Keywords: irritable bowel syndrome; red flag score; Adult; Male; Saudi Arabia; RC799-869; Colonoscopy; Diseases of the digestive system. Gastroenterology; Inflammatory Bowel Diseases; Inflammatory bowel disease; 3. Good health; Irritable Bowel Syndrome; Crohn Disease; Predictive Value of Tests; Risk Factors; Prevalence; Humans; Mass Screening; Original Article; Female

Background/Aims: The diagnosis of inflammatory bowel disease (IBD) is often delayed due to misdiagnosing patients with irritable syndrome (IBS), mostly because the under-recognition high-risk features. red flag score (RFS) has been recently developed identify higher risk IBD rather than IBS. aim this study estimate prevalence features, according RFS, among diagnosed IBS who would consequently be candidates for ileocolonoscopic evaluation. Patients and Methods: Adult seen at general medicine clinic were recruited surveyed using RFS. Clinical demographic data collected. defined as a RFS >5, was calculated. Logistic regression analysis used predictors >5. Results: A total 255 recruited. mean age 30.6 years (±9.9 years); 71.4% women (182/255), 90.2% from Saudi Arabia (230/255). More half we (51.4%) had not visited gastroenterologist previously. 6.6 (±3.6) 54.9% (140/255) scored more 5 accordingly selected further investigations. Statistical identified no previous visits only significant predictor >5 (OR = 2.2, 95% CI 1.3–3.7, P 0.003). Conclusions: known have are investigations eliminate possibility validated did seek specialized consultation might being misdiagnosed having