Review of the role of abdominal imaging in irritable bowel syndrome

Table 1 Practice guideline recommendations

Patients fulfilling the Rome IV diagnostic criteria for IBS and who do not display “red flag” symptoms such as blood in stool, weight loss, recurrent fevers, anemia, and chronic severe diarrhea and who have no family history of colorectal cancer, inflammatory bowel disease, or celiac sprue do not require radiologic imaging

Radiologic imaging is required in patients with “red flag” symptoms who fulfill the Rome IV diagnostic criteria for IBS

Consideration of the probable alternative diagnosis and adherence to the relevant American College of Radiology Appropriateness Criteria should direct the optimal radiologic imaging of the patient with IBS

IBS: Irritable bowel syndrome.