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功能性肠病中肠道微生物群的治疗性调节

Therapeutic Modulation of Gut Microbiota in Functional Bowel Disorders.

作者信息

Lee Hyo Jeong, Choi Jong Kyoung, Ryu Han Seung, Choi Chang Hwan, Kang Eun Hee, Park Kyung Sik, Min Yang Won, Hong Kyoung Sup

机构信息

Health Screening and Promotion Center, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Department of Internal Medicine, National Medical Center, Seoul, Korea.

出版信息

J Neurogastroenterol Motil. 2017 Jan 30;23(1):9-19. doi: 10.5056/jnm16124.

DOI:10.5056/jnm16124
PMID:28049862
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5216629/
Abstract

Functional bowel disorders (FBDs) are functional gastrointestinal disorders with symptoms attributable to the middle or lower gastrointestinal tract. These include irritable bowel syndrome, functional bloating, functional constipation, functional diarrhea, and unspecified FBD. Increasing evidence has emerged of late that intestinal microbiota is involved in the pathogenesis of FBDs. In this review, the therapeutic benefits and future perspectives of the currently available strategies for modifying the gut microbiota in FBDs are described, focusing primarily on irritable bowel syndrome and functional constipation.

摘要

功能性肠病(FBDs)是一类功能性胃肠疾病,其症状归因于中、下消化道。这些疾病包括肠易激综合征、功能性腹胀、功能性便秘、功能性腹泻以及未特定的功能性肠病。近来,越来越多的证据表明肠道微生物群参与了功能性肠病的发病机制。在本综述中,描述了目前用于改变功能性肠病肠道微生物群的策略的治疗益处和未来前景,主要聚焦于肠易激综合征和功能性便秘。

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本文引用的文献

1
Breath Testing for Small Intestinal Bacterial Overgrowth: A Means to Enrich Rifaximin Responders in IBS Patients?小肠细菌过度生长的呼气试验:一种富集肠易激综合征患者中利福昔明应答者的方法?
Am J Gastroenterol. 2016 Mar;111(3):305-6. doi: 10.1038/ajg.2016.32. Epub 2016 Mar 1.
2
A proof-of-concept study showing antibiotics to be more effective in irritable bowel syndrome with than without small-intestinal bacterial overgrowth: a randomized, double-blind, placebo-controlled trial.一项概念验证研究表明,在伴有小肠细菌过度生长的肠易激综合征中,抗生素比在不伴有小肠细菌过度生长的肠易激综合征中更有效:一项随机、双盲、安慰剂对照试验。
Eur J Gastroenterol Hepatol. 2016 Mar;28(3):281-9. doi: 10.1097/MEG.0000000000000557.
3
Review article: potential mechanisms of action of rifaximin in the management of irritable bowel syndrome with diarrhoea.综述:利福昔明治疗腹泻型肠易激综合征的潜在作用机制。
Aliment Pharmacol Ther. 2016 Jan;43 Suppl 1:37-49. doi: 10.1111/apt.13437.
4
Review article: the antimicrobial effects of rifaximin on the gut microbiota.综述文章:利福昔明对肠道微生物群的抗菌作用。
Aliment Pharmacol Ther. 2016 Jan;43 Suppl 1:3-10. doi: 10.1111/apt.13434.
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Predicting a Response to Antibiotics in Patients with the Irritable Bowel Syndrome.预测肠易激综合征患者对抗生素的反应
Dig Dis Sci. 2016 Mar;61(3):846-51. doi: 10.1007/s10620-015-3872-9. Epub 2015 Sep 11.
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Gut. 2016 Feb;65(2):330-9. doi: 10.1136/gutjnl-2015-309990. Epub 2015 Sep 2.
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Diet low in FODMAPs reduces symptoms of irritable bowel syndrome as well as traditional dietary advice: a randomized controlled trial.低 FODMAP 饮食可改善肠易激综合征症状,优于传统饮食建议:一项随机对照试验。
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Gastroenterology. 2015 Jul;149(1):15-8. doi: 10.1053/j.gastro.2015.05.030. Epub 2015 May 27.