When is esophagogastroduodenoscopy or colonoscopy indicated in the diagnosis of irritable bowel syndrome (IBS)?

Updated: Dec 11, 2019
  • Author: Jenifer K Lehrer, MD; Chief Editor: BS Anand, MD  more...
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Answer

Esophagogastroduodenoscopy with possible biopsy is indicated in patients with persistent dyspepsia, if weight loss or symptoms suggest malabsorption, or if celiac disease is a concern. Colonoscopy is indicated for patients with warning signs, such as bleeding; anemia; chronic diarrhea; older age; history of colon polyps; cancer in the patient or first-degree relatives; or constitutional symptoms, such as weight loss or anorexia. A screening colonoscopy should be performed according to published guidelines.


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