一种管理肠易激综合征的营养方法。
A nutritional approach for managing irritable bowel syndrome.
作者信息
Bhesania Natalie, Cresci Gail A M
机构信息
aDepartment of Pediatric Gastroenterology, Hepatology and Nutrition, Pediatric Institute bDepartment of Pathobiology, Lerner Research Institute, Cleveland Clinic, Cleveland, Ohio, USA.
出版信息
Curr Opin Pediatr. 2017 Oct;29(5):584-591. doi: 10.1097/MOP.0000000000000536.
PURPOSE OF REVIEW
Irritable bowel syndrome (IBS) is the most common functional gastrointestinal disorder (FGID) 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.
RECENT FINDINGS
A common complaint among the pediatric population is IBS-related recurrent abdominal pain. The prevalence of IBS is estimated to range between 6 and 14% and is defined by the Rome III criteria for FGIDs. Recent studies highlight the role of nutritional interventions in mitigating symptoms of IBS. Although eliminating foods that aggravate IBS gastrointestinal symptoms have 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.
SUMMARY
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.
综述目的
肠易激综合征（IBS）是儿科医生和会诊医生遇到的最常见的功能性胃肠疾病（FGID）。本综述的主要重点是提供关于管理该患者群体的有益营养干预措施的最新情况，并讨论肠道微生物群的影响。
最新发现
儿科人群中常见的抱怨是与IBS相关的反复腹痛。IBS的患病率估计在6%至14%之间，由FGIDs的罗马III标准定义。最近的研究强调了营养干预在减轻IBS症状方面的作用。虽然消除加重IBS胃肠道症状的食物已成为IBS急性管理的主要营养方法，但最近的文献反映了这可能如何影响肠道微生物群并可能产生长期影响。
总结
有新出现的研究表明，在儿科人群中，不同的饮食干预可改善IBS症状，但目前已知的大部分内容都是从成人文献中推断出来的。
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