Intestinal gas: has diet anything to do in the absence of a demonstrable malabsorption state?

Intestinal gas: has diet anything to do in the absence of a demonstrable malabsorption state?
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肠道气体:在没有明显吸收不良状态的情况下,饮食有什么关系吗?

DOI:
10.1097/mco.0b013e328356662d
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发表时间:
2012
影响因子:
3.1
通讯作者:
J. Serra
J. Serra
中科院分区:
医学3区
文献类型:
--
作者:
J. Serra

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综述目的总结过去12个月支持在没有吸收不良状态的情况下饮食可以影响气体相关症状的相关出版物。碳水化合物发酵过程中的气体症状:大多数参与心脏病生物标志物项目的个体都能很好地耐受含有豆类的饮食。相比之下,在肠易激综合征患者中,避免可发酵碳水化合物的饮食改善了与气体相关的腹部症状。发酵的速度决定了腹部症状的产生,许多缓慢发酵的纤维具有快速发酵的特征,可以产生腹部症状。调节内脏敏感性:饮食可以通过增加肠道对气体的耐受性来影响气体症状。辣椒素减少内脏痛觉过敏,改善肠易激综合征患者的腹胀。产气细菌的变化:不同的乳酸菌菌株对产气大肠菌群具有抗菌特性。新的临床研究表明,益生元和益生菌对腹胀有益。实际数据表明,饮食可以通过多种机制改善与气体有关的腹部症状:气体产生、内脏过敏和产气肠道细菌的调节。
Purpose of review To summarize the relevant publications during the last 12 months supporting that diet can influence gas-related symptoms in the absence of a malabsorption state. Recent findings Gas symptoms during carbohydrate fermentation: a diet incorporating beans is well tolerated by a majority of individuals involved in a program of heart disease biomarkers. By contrast, in patients with irritable bowel syndrome, a diet avoiding fermentable carbohydrates improved gas-related abdominal symptoms. The rate of fermentation determines the production of abdominal symptoms, and many slowly fermentable fibers have a rapid fermentation profile that can generate abdominal symptoms. Modulation of visceral sensitivity: diet can influence gas symptoms by increasing the tolerability of the intestine to gas. Capsaicin decreases visceral hyperalgesia and improved bloating in patients with irritable bowel syndrome. Changes in gas-producing bacteria: different strains of Lactobacillus have antimicrobial properties against gas-forming coliforms. New clinical studies show beneficial effects of prebiotics and probiotics on abdominal bloating. Summary Actual data suggest that diet could improve gas-related abdominal symptoms acting on several mechanisms: gas production, visceral hypersensitivity and modulation of gas-producing enteric bacteria.
人类肠道气体动力学和耐受性的反射控制。
DOI: 10.1152/ajpgi.00174.2003
发表时间: 2004
期刊: American journal of physiology. Gastrointestinal and liver physiology.
影响因子: --
作者:
Harder,Hermann;Serra,Jordi;Azpiroz,Fernando;Malagelada,Juan-R
通讯作者: Malagelada,Juan-R