DRG Category 182 Mean LOS 43 days Description Medical Esophagitis

Gastrointestinal and Miscellaneous Digestive Disorders, Age > 17 without CC

I rritable bowel syndrome (IBS), sometimes called spastic colon, is the most common digestive disorder in the United States. with a prevalence as high as 10% to 20% in the population. It is a poorly understood syndrome of diarrhea, constipation, flatus, and abdominal pain that causes a great deal of stress and embarrassment to its victims. People often suffer with it for years before seeking medical attention.

Although people with IBS have a gastrointestinal (GI) tract that appears normal, colonic smooth muscle function is often abnormal. The autonomic nervous system, which innervates the large bowel, fails to provide the normal contractions interspaced with relaxations that propel stool smoothly forward. Excessive spasm and peristalsis lead to constipation or diarrhea, or both. Generally patients with IBS have either diarrhea- or constipation-predominant syndrome. Although complications are unusual, they include diverticulitis, colon cancer, and chronic

542 Irritable Bowel Syndrome inflammatory bowel disease; IBS, however, does not increase mortality or the risk of inflammatory bowel disease or cancer.

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