饮食干预与肠易激综合征:证据综述
Dietary Interventions and Irritable Bowel Syndrome: A Review of the Evidence.
作者信息
Shah Shawn L, Lacy Brian E
机构信息
Division of Gastroenterology and Hepatology, Dartmouth-Hitchcock Medical Center, 1 Medical Center Drive, Lebanon, NH, 03756, USA.
出版信息
Curr Gastroenterol Rep. 2016 Aug;18(8):41. doi: 10.1007/s11894-016-0517-x.
Irritable bowel syndrome (IBS) is the best studied of the functional gastrointestinal disorders. It is a highly prevalent disorder characterized by symptoms of abdominal pain, bloating, and disordered bowel habits, which may include constipation, diarrhea, or both. IBS has a significant negative impact on patients, both financially and with regard to their quality-of-life. At present, there is no cure for IBS, and while there are a number of pharmacological therapies available to treat IBS symptoms, they are not uniformly effective. For this reason, many patients and providers are turning to dietary interventions in an attempt to ameliorate IBS symptoms. At first glance, this approach appears reasonable as dietary interventions are generally safe and side effects, including potential adverse reactions with medications, are rare. However, although dietary interventions for IBS are frequently recommended, there is a paucity of data to support their use. The goals of this article are to answer key questions about diets currently recommended for the treatment of IBS, using the best available data from the literature.
肠易激综合征(IBS)是功能性胃肠疾病中研究最多的疾病。它是一种高度常见的疾病,其特征为腹痛、腹胀以及排便习惯紊乱,这可能包括便秘、腹泻或两者兼有。IBS对患者在经济和生活质量方面都有重大负面影响。目前,IBS无法治愈,虽然有多种药物疗法可用于治疗IBS症状,但它们并非都有效。因此,许多患者和医疗服务提供者正在转向饮食干预措施,试图改善IBS症状。乍一看,这种方法似乎合理,因为饮食干预措施通常是安全的,而且副作用很少,包括与药物的潜在不良反应。然而,尽管经常推荐对IBS进行饮食干预,但支持其使用的数据却很少。本文的目的是利用文献中现有的最佳数据,回答有关目前推荐用于治疗IBS的饮食的关键问题。