Chiarioni Giuseppe, Pesce Marcella, Fantin Alberto, Sarnelli Giovanni
Division of Gastroenterology of the University of Verona, Azienda Ospedaliera Universitaria Integrata di Verona, Verona, Italy; and Division of Gastroenterology and Hepatology & UNC Center for Functional GI and Motility Disorders, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Department of Clinical Medicine and Surgery, 'Federico II' University of Naples, Naples, Italy.
United European Gastroenterol J. 2018 Feb;6(1):5-12. doi: 10.1177/2050640617724061. Epub 2017 Aug 2.
The popularity of complementary and alternative medicine (CAM) in treating functional gastrointestinal disorders (FGIDs) has steadily increased in Western countries. We aimed at analyzing available data on CAM effectiveness in functional dyspepsia (FD) patients.
A bibliographical search was performed in PubMed using the following keywords: "complementary/alternative medicine," "hypnosis," "acupuncture" and/or "functional dyspepsia."
In community settings, almost 50% of patients with FGIDs used CAM therapies. Herbal remedies consist of multi-component preparations, whose mechanisms of action have not been systematically clarified. Few studies analyzed the effectiveness of acupuncture in Western countries, yielding conflicting results and possibly reflecting a population bias of this treatment. Hypnosis has been extensively used in irritable bowel syndrome, but few data support its role in treating FD.
Although some supporting well-designed studies have been recently performed, additional randomized, controlled trials are needed before stating any recommendation on CAM effectiveness in treating FD.
在西方国家，补充和替代医学（CAM）在治疗功能性胃肠疾病（FGIDs）方面的应用日益广泛。我们旨在分析关于CAM对功能性消化不良（FD）患者疗效的现有数据。
在PubMed上进行文献检索，使用以下关键词：“补充/替代医学”、“催眠”、“针灸”和/或“功能性消化不良”。
在社区环境中，近50%的FGIDs患者使用CAM疗法。草药疗法由多成分制剂组成，其作用机制尚未得到系统阐明。西方国家很少有研究分析针灸的疗效，结果相互矛盾，可能反映了该疗法的人群偏差。催眠已广泛应用于肠易激综合征，但支持其在治疗FD中作用的数据很少。
尽管最近进行了一些设计良好的支持性研究，但在就CAM治疗FD的疗效提出任何建议之前，还需要更多的随机对照试验。
