A nutritional approach for managing irritable bowel syndrome.
A nutritional approach for managing irritable bowel syndrome.
复制标题
一种用于管理肠易激综合征的营养方法。
DOI：
10.1097/mop.0000000000000536
复制
发表时间：
2017-10
影响因子：
3.6
通讯作者：
Cresci GAM
中科院分区：
文献类型：
--
作者：
Bhesania N;Cresci GAM
肠易激综合征（IBS）是儿科医生和咨询师遇到的最常见的功能性胃肠道疾病。本综述的主要重点是提供有益的营养干预措施的更新，以管理这一患者群体，并讨论肠道微生物组的影响。在儿科人群中常见的抱怨是ibs相关的复发性腹痛。肠易激综合征的患病率估计在6%-14%之间，并由功能性胃肠疾病的罗马III标准定义。最近的研究强调了营养干预在缓解肠易激综合征症状中的作用。虽然消除加重肠易激综合征胃肠道症状的食物已成为肠易激综合征急性治疗的主要营养方法，但最近的文献反映了这可能会影响肠道微生物群并可能产生长期影响。有新的研究表明，在儿童人群中，不同的饮食干预可以改善肠易激综合征的症状，但目前已知的大部分都是从成人文献中推断出来的。
Irritable bowel syndrome (IBS) is the most common functional gastrointestinal disorder encountered by the pediatrician and consultant. The primary focus of this review is to provide an update on beneficial nutritional interventions for managing this patient population with discussion on gut microbiome effects. A common complaint amongst the pediatric population is IBS-related recurrent abdominal pain. The prevalence of IBS is estimated to range between 6%–14% and is defined by the Rome III criteria for functional gastrointestinal disorders. Recent studies highlight the role of nutritional interventions in mitigating symptoms of IBS. While eliminating foods which aggravate IBS gastrointestinal symptoms has become a main nutritional approach for acute management of IBS, recent literature reflects how this may impact the gut microbiome and potentially have long-term implications. There are emerging studies suggesting IBS symptomatic improvement with different dietary interventions in the pediatric population, but most of what is known at this time has been extrapolated from the adult literature.