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Purpose of Review: This article aims to review the term 'gay bowel syndrome', including the recent research looking at increased rates of bowel infections in men who have sex with men (MSM), particularly in light of the recent Shigella outbreaks in MSM in London and New York, and considers whether 'gay bowel syndrome' is a syndrome that really exists and is worthy of further research and specific treatment, or whether the term continues to be obsolete and not useful. In 2014, the medical journal Current Opinion in Infectious Disease published a journal article entitled ' Gay bowel syndrome': relic or real (and returning) phenomenon? whose abstract indicated: The clinical diagnoses in decreasing order of frequency include condyloma acuminata, hemorrhoids, nonspecific proctitis, anal fistula, perirectal abscess, anal fissure, amebiasis, benign polyps, viral hepatitis, gonorrhea, syphilis, anorectal trauma and foreign bodies, shigellosis, rectal ulcers and lymphogranuloma venereum. A clinical pattern of anorectal and colon diseases encountered with unusual frequency in these homosexual patients is termed the gay bowel syndrome.
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The clinical and pathological findings in a group of 260 homosexual men comprising 10% of a private proctologic practice are reviewed. The abstract for the 1976 journal article published in Annals of Clinical and Laboratory Science entitled The gay bowel syndrome: clinico-pathologic correlation in 260 cases describes gay bowel syndrome in the following manner: Gay bowel syndrome was first named as an illness in 1976 in the medical literature via the journal Annals of Clinical and Laboratory Science. Human Immunodeficiency Virus attacking T4 lymphocytes