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Management of the Irritable Bowel Syndrome: Different Views of the Same Disease

Thomas P. Almy, MD
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Requests for Reprints: Thomas P. Almy, MD, Dartmouth Medical School, Hanover, NH 03756-3862.

Ann Intern Med. 1992;116(12_Part_1):1027-1028. doi:10.7326/0003-4819-116-12-1027
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More than a century and a half after the first clinical descriptions of the condition now known as the irritable bowel syndrome (IBS), a large number of mutually confirmatory observations on its underlying mechanisms and its etiology now encourage a degree of consensus on its clinical management. This work has originated in many different countries and includes the findings of clinicians, clinical epidemiologists, physiologists, neurobiologists, and behavioral scientists, using ever more sophisticated methods, more rigorous experimental design, and closer interdisciplinary collaboration.

The magnitude of this effort may seem remarkable because it has been expended on a disorder yielding a zero


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