The Manning criteria are a diagnostic algorithm used in the diagnosis of irritable bowel syndrome (IBS). The criteria consist of a list of questions the physician can ask the patient.[1] The answers are used in a process to produce a diagnostic decision regarding whether the patient can be considered to have IBS.
| Manning criteria | |
|---|---|
| Purpose | diagnosis of irritable bowel syndrome |
The Manning criteria have been compared with other diagnostic algorithms for IBS, such as the Rome I criteria, the Rome II process, and the Kruis criteria.[2] A 2013 validation study found the Manning criteria to have less sensitivity but more specificity than the Rome criteria.[3]
The threshold for a positive diagnosis varies from two to four of the Manning criteria below.[4]
- Onset of pain linked to more frequent bowel movements
- Looser stools associated with onset of pain
- Pain relieved by passage of stool
- Noticeable abdominal bloating
- Sensation of incomplete evacuation more than 25% of the time
- Diarrhea with mucus more than 25% of the time
References
edit- ^ Manning AP, Thompson WG, Heaton KW, Morris AF (1978). "Towards positive diagnosis of the irritable bowel". Br Med J. 2 (6138): 653–4. doi:10.1136/bmj.2.6138.653. PMC 1607467. PMID 698649.
- ^ Fass R, Longstreth GF, Pimentel M, et al. (2001). "Evidence- and consensus-based practice guidelines for the diagnosis of irritable bowel syndrome". Arch. Intern. Med. 161 (17): 2081–8. doi:10.1001/archinte.161.17.2081. PMID 11570936.
- ^ Ford, Alexander C.; Bercik, Premysl; Morgan, David G.; Bolino, Carolina; Pintos–Sanchez, Maria Ines; Moayyedi, Paul (Dec 2013). "Validation of the Rome III criteria for the diagnosis of irritable bowel syndrome in secondary care". Gastroenterology. 145 (6): 1262–70.e1. doi:10.1053/j.gastro.2013.08.048. PMID 23994201.
- ^ Saito, Yuri Ann; Locke, G. Richard; Talley, Nicholas J.; Zinsmeister, Alan R.; Fett, Sara L.; Melton, L. Joseph (Oct 2000). "A comparison of the Rome and Manning criteria for case identification in epidemiological investigations of irritable bowel syndrome". The American Journal of Gastroenterology. 95 (10): 2816–2824. doi:10.1111/j.1572-0241.2000.03192.x. PMID 11051354. S2CID 35466717.