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https://www.readbyqxmd.com/read/27888862/functional-and-motor-gastrointestinal-disorders
#1
Fermín Mearin, Enrique Rey, Agustín Balboa
This article discusses the most interesting presentations at Digestive Disease Week, held in San Diego, in the field of functional and motor gastrointestinal disorders. One of the most important contributions was undoubtedly the presentation of the new Rome IV diagnostic criteria for functional gastrointestinal disorders. We therefore devote some space in this article to explaining these new criteria in the most common functional disorders. In fact, there has already been discussion of data comparing Rome IV and Rome III criteria in the diagnosis of irritable bowel syndrome, confirming that the new criteria are somewhat more restrictive...
September 2016: Gastroenterología y Hepatología
https://www.readbyqxmd.com/read/27867683/logical-hypothesis-low-fodmap-diet-to-prevent-diverticulitis
#2
REVIEW
Yoshiharu Uno, Jennifer C van Velkinburgh
Despite little evidence for the therapeutic benefits of a high-fiber diet for diverticulitis, it is commonly recommended as part of the clinical management. The ongoing uncertainty of the cause(s) of diverticulitis confounds attempts to determine the validity of this therapy. However, the features of a high-fiber diet represent a logical contradiction for colon diverticulitis. Considering that Bernoulli's principle, by which enlarged diameter of the lumen leads to increased pressure and decreased fluid velocity, might contribute to development of the diverticulum...
November 6, 2016: World Journal of Gastrointestinal Pharmacology and Therapeutics
https://www.readbyqxmd.com/read/27834802/prevalence-and-characterization-of-self-reported-gluten-sensitivity-in-the-netherlands
#3
Tom van Gils, Petula Nijeboer, Catharina E IJssennagger, David S Sanders, Chris J J Mulder, Gerd Bouma
BACKGROUND: A growing number of individuals reports symptoms related to the ingestion of gluten-containing food in the absence of celiac disease. Yet the actual prevalence is not well established. METHODS: Between April 2015 and March 2016, unselected adults visiting marketplaces, dental practices and a university in The Netherlands were asked to complete a modified validated questionnaire for self-reported gluten sensitivity (srGS). RESULTS: Among the 785 adults enquired, two had celiac disease...
November 8, 2016: Nutrients
https://www.readbyqxmd.com/read/27798441/runner-s-diarrhea-what-is-it-what-causes-it-and-how-can-it-be-prevented
#4
Erick P de Oliveira
PURPOSE OF REVIEW: Runner's diarrhea is an acute exercise-induced diarrhea. Usually, this is not a pathological situation but it can affect performance. This review focuses on the discussion of the main causes of runner's diarrhea and nutritional recommendations to prevent it. RECENT FINDINGS: Although based on limited data, multiple transportable carbohydrate intake during exercise instead of glucose alone can be recommended for preventing the urge to defecate and (possibly) diarrhea...
October 27, 2016: Current Opinion in Gastroenterology
https://www.readbyqxmd.com/read/27793606/diet-as-a-trigger-or-therapy-for-inflammatory-bowel-diseases
#5
James D Lewis, Maria T Abreu
The most common question asked by patients with inflammatory bowel disease is "doctor what should I eat?" Findings from epidemiology studies indicate that diets high in animal fat and low in fruits and vegetables are the most common pattern associated with an increased risk of IBD. Low levels of vitamin D also appear to be a risk factor for IBD. In murine models, diets high in fat, especially saturated animal fats, also increase inflammation, whereas supplementation with omega 3 long-chain fatty acids protect against intestinal inflammation...
October 25, 2016: Gastroenterology
https://www.readbyqxmd.com/read/27774805/-fructose-and-fructose-intolerance
#6
György Miklós Buzás
Although fructose was discovered in 1794, it was realised in recent decades only that its malabsorption can lead to intestinal symptoms while its excessive consumption induces metabolic disturbances. Fructose is a monosaccharide found naturally in most fruits and vegetables. Dietary intake of fructose has gradually increased in the past decades, especially because of the consumption of high fructose corn syrup. With its 16.4 kg/year consumption, Hungary ranks secondly after the United States. Fructose is absorbed in the small intestine by facilitated transport mediated by glucose transporter proteins-2 and -5, and arrives in the liver cells...
October 2016: Orvosi Hetilap
https://www.readbyqxmd.com/read/27747984/effects-of-varying-dietary-content-of-fermentable-short-chain-carbohydrates-on-symptoms-fecal-microenvironment-and-cytokine-profiles-in-patients-with-irritable-bowel-syndrome
#7
T N Hustoft, T Hausken, S O Ystad, J Valeur, K Brokstad, J G Hatlebakk, G A Lied
BACKGROUND: A diet low in fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (FODMAPs) is increasingly recommended for patients with irritable bowel syndrome (IBS). We aimed to investigate the effects of a blinded low-FODMAP vs high-fructo-oligosaccharides (FOS) diet on symptoms, immune activation, gut microbiota composition, and short-chain fatty acids (SCFAs). METHODS: Twenty patients with diarrhea-predominant or mixed IBS were instructed to follow a low-FODMAP diet (LFD) throughout a 9-week study period...
October 16, 2016: Neurogastroenterology and Motility: the Official Journal of the European Gastrointestinal Motility Society
https://www.readbyqxmd.com/read/27734545/editorial-balancing-fibre-and-fodmaps-in-ibs-a-rye-look-at-an-old-problem
#8
E M M Quigley
No abstract text is available yet for this article.
November 2016: Alimentary Pharmacology & Therapeutics
https://www.readbyqxmd.com/read/27734544/editorial-balancing-fibre-and-fodmaps-in-ibs-a-rye-look-at-an-old-problem-authors-reply
#9
R Laatikainen, J Loponen, R Korpela
No abstract text is available yet for this article.
November 2016: Alimentary Pharmacology & Therapeutics
https://www.readbyqxmd.com/read/27725652/a-randomized-controlled-trial-comparing-the-low-fodmap-diet-vs-modified-nice-guidelines-in-us-adults-with-ibs-d
#10
Shanti L Eswaran, William D Chey, Theresa Han-Markey, Sarah Ball, Kenya Jackson
OBJECTIVES: There has been an increasing interest in the role of fermentable oligo-, di-, and monosaccharides and polyols (FODMAPs) in irritable bowel syndrome (IBS). We report results from the first randomized controlled trial of the low FODMAP diet in US adults with IBS and diarrhea (IBS-D). The objectives were to compare the efficacy of the low FODMAP diet vs. a diet based upon modified National Institute for Health and Care Excellence guidelines (mNICE) on overall and individual symptoms in IBS-D patients...
December 2016: American Journal of Gastroenterology
https://www.readbyqxmd.com/read/27681914/microbiome-metabolome-and-inflammatory-bowel-disease
#11
REVIEW
Ishfaq Ahmed, Badal C Roy, Salman A Khan, Seth Septer, Shahid Umar
Inflammatory Bowel Disease (IBD) is a multifactorial disorder that conceptually occurs as a result of altered immune responses to commensal and/or pathogenic gut microbes in individuals most susceptible to the disease. During Crohn's Disease (CD) or Ulcerative Colitis (UC), two components of the human IBD, distinct stages define the disease onset, severity, progression and remission. Epigenetic, environmental (microbiome, metabolome) and nutritional factors are important in IBD pathogenesis. While the dysbiotic microbiota has been proposed to play a role in disease pathogenesis, the data on IBD and diet are still less convincing...
June 15, 2016: Microorganisms
https://www.readbyqxmd.com/read/27664186/restriction-of-fodmap-in-the-management-of-bloating-in-irritable-bowel-syndrome
#12
Wei Mon Wong
Irritable bowel syndrome (IBS) is a common functional bowel disorder. Up to 96% of IBS patients experience bloating, resulting in poor response to conventional therapies and high consultation rates. Many IBS patients report that food triggers symptoms, particularly diets with poorly absorbed, short-chain carbohydrates, and restrict intake of certain foods to control their symptoms. IBS patients are especially susceptible to an attack due to visceral hypersensitivity. An emerging therapeutic strategy excludes fermentable oligosaccharides, disaccharides, monosaccharides and polyols (FODMAP) from the diet...
September 2016: Singapore Medical Journal
https://www.readbyqxmd.com/read/27642742/-chronic-non-infectious-diarrhea-diagnostics-and-therapy
#13
Korinna Ulbricht, Peter Layer, Viola Andresen
Chronic, non-infectious diarrhea can be caused by a variety of gastrointestinal diseases. In anamnesis, it is important to take accompanying warning symptoms and specific triggers into account. The fecal inflammatory marker calprotectin may help differentiating between organic and functional gastrointestinal disorders, but it is not specific. Among other options, gelling fibres, Loperamide and Cholestyramine as well as probiotics are available for the symptomatic treatment of chronic diarrhea. For long-term treatment of chronic diarrhea with the enkephalinase inhibitor racecadotril, which is approved for acute diarrhea, only limited data are available...
September 2016: Deutsche Medizinische Wochenschrift
https://www.readbyqxmd.com/read/27634231/editorial-gut-directed-hypnotherapy-or-low-fodmap-diet-for-the-treatment-of-irritable-bowel-syndrome-authors-reply
#14
EDITORIAL
S L Peters, C K Yao, H Philpott, G W Yelland, J G Muir, P R Gibson
No abstract text is available yet for this article.
October 2016: Alimentary Pharmacology & Therapeutics
https://www.readbyqxmd.com/read/27634230/editorial-gut-directed-hypnotherapy-or-low-fodmap-diet-for-the-treatment-of-irritable-bowel-syndrome
#15
EDITORIAL
J Lövdahl, S Störsrud, H Törnblom
No abstract text is available yet for this article.
October 2016: Alimentary Pharmacology & Therapeutics
https://www.readbyqxmd.com/read/27618353/managing-irritable-bowel-syndrome-the-low-fodmap-diet
#16
REVIEW
Mohannad Dugum, Kathy Barco, Samita Garg
A diet low in fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (FODMAPs) has been found to significantly reduce symptoms of irritable bowel syndrome (IBS). The diet is best implemented in two phases: initial strict elimination of foods high in FODMAPs, then gradual reintroduction based on symptoms. Further study of this diet's effect on intestinal microbiota is needed.
September 2016: Cleveland Clinic Journal of Medicine
https://www.readbyqxmd.com/read/27600184/adding-glucose-to-food-and-solutions-to-enhance-fructose-absorption-is-not-effective-in-preventing-fructose-induced-functional-gastrointestinal-symptoms-randomised-controlled-trials-in-patients-with-fructose-malabsorption
#17
C J Tuck, L A Ross, P R Gibson, J S Barrett, J G Muir
BACKGROUND: In healthy individuals, the absorption of fructose in excess of glucose in solution is enhanced by the addition of glucose. The present study aimed to assess the effects of glucose addition to fructose or fructans on absorption patterns and genesis of gastrointestinal symptoms in patients with functional bowel disorders. METHODS: Randomised, blinded, cross-over studies were performed in healthy subjects and functional bowel disorder patients with fructose malabsorption...
September 7, 2016: Journal of Human Nutrition and Dietetics: the Official Journal of the British Dietetic Association
https://www.readbyqxmd.com/read/27507006/food-avoidance-in-athletes-fodmap-foods-on-the-list
#18
Dana Lis, Kiran D K Ahuja, Trent Stellingwerff, Cecilia M Kitic, James Fell
We surveyed 910 athletes to assess behaviours towards self-selected food/ingredient avoidance to minimize gastrointestinal distress. Fifty-five percent eliminated at least 1 high fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (FODMAP) food/category, with up to 82.6% reporting symptom improvement. In athletes indicating that high FODMAP foods trigger gastrointestinal symptoms, lactose (86.5%) was most frequently eliminated, followed by galactooligosaccharides (23.9%), fructose (23...
September 2016: Applied Physiology, Nutrition, and Metabolism, Physiologie Appliquée, Nutrition et Métabolisme
https://www.readbyqxmd.com/read/27487397/fecal-fermentation-in-irritable-bowel-syndrome-influence-of-dietary-restriction-of-fermentable-oligosaccharides-disaccharides-monosaccharides-and-polyols
#19
Jørgen Valeur, Arne Gustav Røseth, Torunn Knudsen, Gunn Helen Malmstrøm, Jennifer T Fiennes, Tore Midtvedt, Arnold Berstad
BACKGROUND/AIMS: Dietary restriction of fermentable oligosaccharides, disaccharides, monosaccharides and polyols (FODMAPs) may relieve symptoms in patients with irritable bowel syndrome (IBS). We investigated whether this diet alters microbial fermentation, a process that may be involved in IBS symptom generation. METHODS: Patients with IBS were included consecutively to participate in a 4-week FODMAP restricted diet. IBS symptoms were evaluated by using the IBS severity scoring system (IBS-SSS)...
2016: Digestion
https://www.readbyqxmd.com/read/27417338/randomised-clinical-trial-low-fodmap-rye-bread-vs-regular-rye-bread-to-relieve-the-symptoms-of-irritable-bowel-syndrome
#20
R Laatikainen, J Koskenpato, S-M Hongisto, J Loponen, T Poussa, M Hillilä, R Korpela
BACKGROUND: Grains are high in FODMAPs (Fermentable Oligo-, Di-, Monosaccharides And Polyols) and often considered as triggers of IBS symptoms. AIM: To evaluate if rye bread low in FODMAPs would be better tolerated than regular rye bread in subjects with IBS. METHODS: The study was conducted as a randomised double blind controlled cross-over study (n = 87). Participants were supplied with both regular rye bread and low-FODMAP rye bread for 4 weeks...
September 2016: Alimentary Pharmacology & Therapeutics
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