Curbside Consultation in IBS: 49 Clinical Questions

Brian E. Lacy, PhD, MD
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ISBN 13:
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Book Description

Are you looking for concise, practical answers to questions that are often left unanswered by traditional IBS references that are not designed for gastroenterologists? Are you seeking brief, evidence-based advice for complicated cases or patients with complications that need management? Curbside Consultation in IBS: 49 Clinical Questions provides quick and direct answers to the thorny questions commonly posed during a “curbside consultation” between colleagues.

Dr. Brian E. Lacy has designed this unique reference, which offers expert advice, preferences, and opinions on tough clinical questions commonly associated with IBS. The unique Q&A format provides quick access to current information related to IBS with the simplicity of a conversation between two colleagues. Numerous images, diagrams, and references are included to enhance the text and to illustrate the treatment of IBS patients.

Some of the questions that are answered:
• How can you safely and effectively diagnose IBS? Are diagnostic tests required, and if so, what are they?
• What should I tell my patient about the natural history of IBS? What other disorders are commonly found in IBS patients?
• What dietary interventions will help my patient?
• What is the role of probiotics in my patient? Why do they work and are they all the same?
• Are there new therapies for IBS? What about antibiotics? What is linaclotide and why might it help my patient?

Bonus Material: With each new book purchase, gain full access to a fully searchable website for 3 months. At the website you will be able to:
o Access all 49 questions and answers from the book
o Access additional questions added each month
o Access video clips to supplement the material presented in the book and online
o Submit your own suggested questions and/or questions and answers
o Suggest alternate answers to the 49 questions
o Submit your own images and video content

Curbside Consultation in IBS: 49 Clinical Questions provides information basic enough for residents while also incorporating expert advice that even high-volume clinicians will appreciate. Gastroenterologists, fellows and residents in training, surgical attendings, and surgical residents will benefit from the user-friendly and casual format and the expert advice contained within.


More Information


About the Editor
Contributing Authors
Foreword by George F. Longstreth, MD

Section I: Epidemiology and Natural History
Question 1: How Common Is IBS? G. Richard Locke III, MD and Rok Seon Choung, MD, PhD
Question 2: What Factors Are Associated With IBS and Functional Abdominal Pain in Children? Rona L. Levy, MSW, PhD, MPH, AGAF, FACG
Question 3: What Is the Natural History of IBS? Larissa Fujii, MD; Lucinda A. Harris, MD; and Michael D. Crowell, PhD, FACG, AGAF

Section II: Diagnosis and Patient Impact
Question 4: How Can I Diagnose IBS? Nicholas J. Talley, MD, PhD, FACP, FRACP, FRCP and Steven J. Bollipo, MBBS, FRACP
Question 5: How Do I Distinguish IBS Constipation From Other Types of Constipation? Kalyani Meduri, MD and Satish S. C. Rao, MD, PhD, FACG, AGAF, FRCP
Question 6: What Tests Are Required to Make the Diagnosis of IBS? Madhusudan Grover, MD and Amy E. Foxx-Orenstein, DO, FACG, FACP
Question 7: What Is the Value of Performing a Colonoscopy in Patients With IBS? Brooks D. Cash, MD, FACP, FACG, AGAF
Question 8: Can a Blood Test Diagnose IBS? Vincenzo Stanghellini, MD and Giovanni Barbara, MD
Question 9: What Prompts Patients With IBS to Seek Out Medical Care? Gisela Ringström, RN, PhD and Magnus Simrén, MD, PhD
Question 10: What Distinguishes a Patient With Mild IBS From a Patient With Severe IBS? Filippo Cremonini, MD, MSc, PhD
Question 11: Why Is IBS Important to Treat? Brennan M. R. Spiegel, MD, MSHS

Section III: The Pathophysiology of IBS
Question 12: What Is the Pathophysiology of IBS? Lisa Shim, MB BS, FRACP and John E. Kellow, MD, FRACP
Question 13: Are There Risk Factors for Developing IBS? Peter Paine, MD, PhD, MRCP and Lesley A. Houghton, PhD, FSB, FACG, AGAF
Question 14: Why Is Bloating Such a Problem in Patients With IBS? Juan R. Malagelada, MD
Question 15: What Is the Role of Stress in IBS? Yvette Taché, PhD and Agata Mulak, MD, PhD
Question 16: Does Anxiety or Depression Cause IBS? David A. Klibansky, MD and Kevin W. Olden, MD
Question 17: IBS and the Menstrual Cycle: What Is the Relationship? Lin Chang, MD and Margaret M. Heitkemper, PhD, RN, FAAN
Question 18: How Does an Infection Cause IBS? Kok-Ann Gwee, FRCP, PhD
Question 19: Is There a Relationship Between Surgery and IBS? Ami D. Sperber, MD, MSPH
Question 20: Is There an Association Between IBS and IBD? L. Campbell Levy, MD and Corey A. Siegel, MD
Question 21: What Is the Role of Bacterial Overgrowth in IBS Patients? Mark Pimentel, MD

Section IV: The Association of IBS With Other Medical Conditions
Question 22: How Common Is Celiac Disease in Patients With IBS? Joseph Y. Chang, MD, MPH and Yuri A. Saito-Loftus, MD, MPH
Question 23: Functional Dyspepsia and IBS: One Disease or Two? Brian E. Lacy, MD, PhD
Question 24: What Is the Relationship Between GERD and IBS? Ronnie Fass, MD, FACP, FACG and Tiberiu Hershcovici, MD 
Question 25: What Other Common GI Disorders Occur in Patients With IBS? Max J. Schmulson, MD
Question 26: From Which Nongastrointestinal Disorders Are Patients With IBS Most Likely to Suffer? Susan Lucak, MD and Rupa Mukherjee, MD 
Question 27: Is Fecal Incontinence More Common in Patients With IBS? Kirsten T. Weiser, MD, MPH
Question 28: How Do I Evaluate and Treat Pelvic Floor Dysfunction in My Patients With IBS? Adil E. Bharucha, MD, MBBS

Section V: Treatment for IBS
Question 29: What Key Educational Points Do I Need to Convey to My Patients With IBS? Albena Halpert, MD
Question 30: What Dietary Recommendations Should I Make to My Patients With IBS? Christine L. Frissora, MD, FACG, FACP
Question 31: What Is the Relationship Between Fructose Intolerance and IBS? Fernando Fernández-Bañares MD, PhD
Question 32: What Is the Role of Fiber in Patients With IBS? Anil Minocha, MD, FACP, FACG and Ankur Sheth, MD, MPH, FACP, CNSC
Question 33: What Is the Placebo Response and Why Is it so High in Patients With IBS? W. Grant Thompson, MD, FRCPC
Question 34: Which Patient With IBS Is Likely to Benefit From Smooth Muscle Antispasmodics? Alexander Ford, MD
Question 35: What Is the Role of Tricyclic Antidepressants in the Treatment of IBS? Paul Moayyedi, BSc, MB, ChB, PhD, MPH, FRCP, FRCPC, AGAF, FACG 
Question 36: What Is the Role of SSRIs in the Treatment of IBS? Jan Tack, MD, PhD
Question 37: What Is the Role of Rifaximin in the Treatment of IBS? Philip Schoenfeld, MD, MSEd, MSc (Epi)
Question 38: What Is Lubiprostone and When Should I Use it in My Patients With IBS? Lucinda A. Harris, MD and Tisha N. Lunsford, MD
Question 39: What Is the Role of Antidiarrheal Agents in Patients With IBS? Lawrence R. Schiller, MD, FACP, FACG
Question 40: What Is Alosetron and How Can I Use It? Brian E. Lacy, MD, PhD
Question 41: What Are Probiotics and Do They Work in IBS? Yehuda Ringel, MD
Question 42: Which Probiotics Are Best for Patients With IBS? Eamonn M. M. Quigley, MD, FRCP, FACP, FACG, FRCPI
Question 43: Linaclotide—What Is it and Why Might it Help My Patients With IBS? Burr Loew, MD and Brian E. Lacy, MD, PhD
Question 44: Will Acupuncture Help My Patients With IBS? Elizabeth A. Friedlander PhD, ANP-C, FNP and Anthony Lembo, MD 
Question 45: Will Hypnotherapy Help My Patients With IBS? Basma Issa, MD, MPhil and Peter Whorwell, BSc, MB, BS, MD, PhD, FRCP
Question 46: What Is Behavioral Therapy and Will it Help My Patients With IBS? Chris Radziwon, PhD and Jeff Lackner, PsyD 
Question 47: IBS and CAM: What Options Are Available? Richard Nahas, MD, CCFP
Question 48: What Is the Best Approach for Treating Abdominal Pain in Patients With IBS? Madhusudan Grover, MD and Douglas A. Drossman, MD

Section VI: What Does the Future Hold?
Question 49: What Medications Are on the Horizon for the Treatment of IBS? Michael Camilleri, MD

Financial Disclosures


 “Among the great features of this unique format is the way it provides helpful information in very short chapters on well-selected, relevant topics. It is an interesting, quick read of advice by authors who are highly respected experts in the field. This is an exceptionally innovative and stimulating book for GI clinicians and trainees who deal with patients with the sometimes exasperating conditions of IBS.”   

-Willem J. de Villiers, MD, PhD, MHCM, University of Kentucky College of Medicine, Doody Enterprises, Inc. 

About the Editors

Brian E. Lacy, PhD, MD is currently an Associate Professor of Medicine at Dartmouth Medical School, and Director of the GI Motility Laboratory at the Dartmouth-Hitchcock Medical Center in Lebanon, New Hampshire.  

Dr. Lacy’s clinical and basic science research interests focus on disorders of gastrointestinal motility, with an emphasis on irritable bowel syndrome, dyspepsia, gastroparesis, acid reflux disease, constipation, intestinal pseudo-obstruction, achalasia, and visceral pain. He is the author of numerous articles and textbook chapters on gastrointestinal motility disorders and functional bowel disorders. Dr. Lacy is a reviewer for a number of scientific journals and is a member of a number of different scientific organizations, including the American College of Gastroenterology, the American Gastroenterology Association, the American Motility Society, and the Functional Brain-Gut Research Group. Dr. Lacy is the co-author of a book for the general public on acid reflux disease, Healing Heartburn, and is the author of Making Sense of IBS, a book for the general public on irritable bowel syndrome.  

Dr. Lacy received his doctorate in cell biology from Georgetown University in Washington, DC, and his medical degree from the University of Maryland in Baltimore. Dr. Lacy was a resident in internal medicine at the Dartmouth-Hitchcock Medical Center in Lebanon, NH, where he continued his training as Chief Resident and as a Fellow in Gastroenterology. He is board certified in both internal medicine and gastroenterology.