Inns Stephen James, Emmanuel Anton V
Department of Gastroenterology, Hutt Valley District Health Board, Wellington, New Zealand.
Department of Gastroenterology, University College Hospital, London, UK.
Frontline Gastroenterol. 2013 Jan;4(1):44-50. doi: 10.1136/flgastro-2012-100178. Epub 2012 Oct 2.
This study aimed to assess the dietary advice practice of UK and New Zealand (NZ) adult gastroenterologists in inflammatory bowel disease (IBD) and irritable bowel syndrome (IBS).
A questionnaire regarding dietary advice practice was emailed or mailed to all members of the British Society of Gastroenterology (n=983) and the NZ Society of Gastroenterology (n=54).
363 questionnaires were returned in the UK (response rate 37%) and 51 in NZ (94%). More respondents gave specific dietary advice to more than 25% of their patients on IBS than IBD (84% vs 27% UK, 90% vs 55% NZ; p=0.001 for both) and gave advice about dietary exclusions to more than 25% of patients on IBS than IBD (61% vs 13% UK, 77% vs 14% NZ; p<0.001 for both). They were most likely to provide dietary advice to patients with small bowel Crohn's disease, difficult to control IBD, diarrhoea predominant IBS and difficult to control IBS. The majority of respondents agreed strongly or a little that dietary exclusion was effective in the treatment of IBS, compared to the minority in IBD (71% vs 39% UK, 84% vs 43% p<0.05 for both).
UK and NZ gastroenterologists give dietary advice more commonly to IBS than IBD patients. The majority of gastroenterologists have some confidence in the use of dietary exclusion in IBS, the converse is true in IBD. However, the advice given is largely empiric and mostly comprises the exclusion of fibre, dairy and wheat.
本研究旨在评估英国和新西兰成年胃肠病学家在炎症性肠病（IBD）和肠易激综合征（IBS）方面的饮食建议实践情况。
一份关于饮食建议实践的问卷通过电子邮件或邮寄方式发送给英国胃肠病学会的所有成员（n = 983）和新西兰胃肠病学会的所有成员（n = 54）。
英国有363份问卷被退回（回复率37%），新西兰有51份（94%）。与IBD患者相比，更多的受访者为超过25%的IBS患者提供了具体的饮食建议（英国：84%对27%，新西兰：90%对55%；两者p = 0.001），并且为超过25%的IBS患者提供了饮食排除建议的比例高于IBD患者（英国：61%对13%，新西兰：77%对14%；两者p<0.001）。他们最有可能为小肠克罗恩病、难以控制的IBD、腹泻型IBS和难以控制的IBS患者提供饮食建议。大多数受访者强烈或有点同意饮食排除对IBS治疗有效，相比之下IBD患者中持此观点的为少数（英国：71%对39%，新西兰：84%对43%，两者p<0.05）。
英国和新西兰的胃肠病学家为IBS患者提供饮食建议比IBD患者更常见。大多数胃肠病学家对在IBS中使用饮食排除有一定信心，而在IBD中则相反。然而，所提供的建议很大程度上是经验性的，主要包括排除纤维、乳制品和小麦。
