University of Michigan School of Public Health, c/o Kimberly Harer, 1500 East Medical Center Drive, 3912 TC SPC 5362, Ann Arbor, MI 48109, USA.
University of Michigan, Division of Gastroenterology, Department of Internal Medicine, 1500 East Medical Center Drive, 3912 TC SPC 5362, Ann Arbor, MI 48109, USA.
Gastroenterol Clin North Am. 2021 Sep;50(3):595-610. doi: 10.1016/j.gtc.2021.03.007.
Irritable bowel syndrome affects 10% to 15% of the population, and up to 90% of patients with irritable bowel syndrome exclude certain foods to improve their gastrointestinal symptoms. Although focused dietary restrictions are a normal, adaptive response, restrictions can spiral out of control and result in maladaptive restriction. Dietary therapies are rapidly becoming first-line treatment of irritable bowel syndrome, and gastroenterologists need to be aware of red flag symptoms of maladaptive eating patterns and the negative effects of prescribing restrictive diets. There is also growing awareness of the association between eating disorders and gastrointestinal symptoms, including irritable bowel syndrome symptoms.
肠易激综合征影响 10%至 15%的人群,高达 90%的肠易激综合征患者为改善胃肠道症状而排除某些食物。虽然有针对性的饮食限制是一种正常的适应性反应,但限制可能会失控,导致适应性限制。饮食疗法正在迅速成为肠易激综合征的一线治疗方法,胃肠病学家需要意识到不良饮食习惯的危险信号以及开具限制性饮食的负面影响。人们也越来越意识到饮食失调与胃肠道症状之间的关联,包括肠易激综合征症状。