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饮食失调患者肠道-脑相互作用障碍的评估与管理

Assessment and management of disorders of gut-brain interaction in patients with eating disorders.

作者信息

Atkins Micaela, Burton Murray Helen, Staller Kyle

机构信息

Division of Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Massachusetts General Hospital, 55 Fruit Street, Boston, MA, 02114, USA.

Division of Gastroenterology, Center for Neurointestinal Health, Massachusetts General Hospital, 55 Fruit Street, Wang 5, Boston, MA, 02114, USA.

出版信息

J Eat Disord. 2023 Feb 13;11(1):20. doi: 10.1186/s40337-022-00731-6.


DOI:10.1186/s40337-022-00731-6
PMID:36782302
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9926752/
Abstract

Disorders of gut-brain interaction (DBGI), also known as functional gastrointestinal disorders, are common in individuals with eating disorders, and may precede or perpetuate disordered eating. Understanding the pathophysiology of common gastrointestinal symptoms in DGBI can be important for the care of many patients with eating disorders. In this review, we summarize the literature to date on the complex relationship between DBGI and eating disorders and provide guidance on the assessment and management of the most common symptoms of DBGI by anatomic region: esophageal symptoms (globus and functional dysphagia), gastroduodenal symptoms (functional dyspepsia and nausea), and bowel symptoms (abdominal pain, bloating and constipation).

摘要

肠-脑互动障碍(DBGI),也称为功能性胃肠病,在饮食失调患者中很常见,可能先于饮食失调出现或使其持续存在。了解DBGI中常见胃肠道症状的病理生理学对于许多饮食失调患者的护理可能很重要。在本综述中,我们总结了迄今为止关于DBGI与饮食失调之间复杂关系的文献,并按解剖区域为DBGI最常见症状的评估和管理提供指导:食管症状(球部异物感和功能性吞咽困难)、胃十二指肠症状(功能性消化不良和恶心)以及肠道症状(腹痛、腹胀和便秘)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76ae/9926752/745c544ced27/40337_2022_731_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76ae/9926752/745c544ced27/40337_2022_731_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76ae/9926752/745c544ced27/40337_2022_731_Fig1_HTML.jpg

相似文献

[1]
Assessment and management of disorders of gut-brain interaction in patients with eating disorders.

J Eat Disord. 2023-2-13

[2]
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Int J Eat Disord. 2021-6

[3]
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Int J Eat Disord. 2021-6

[4]
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[5]
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World J Gastroenterol. 2021-6-28

[6]
Irritable bowel syndrome and functional dyspepsia in patients with eating disorders - a systematic review.

Eur Eat Disord Rev. 2021-9

[7]
Disorders of gut-brain interaction: Highly prevalent and burdensome yet under-taught within medical education.

United European Gastroenterol J. 2022-9

[8]
The intersect of gastrointestinal symptoms and malnutrition associated with anorexia nervosa and avoidant/restrictive food intake disorder: Functional or pathophysiologic?-A systematic review.

Int J Eat Disord. 2021-6

[9]
Mechanisms underlying food-related symptoms in disorders of gut-brain interaction: Course ahead in research and clinical practice.

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[10]
Prevalence of Rome IV Pediatric Diagnostic Questionnaire-Assessed Disorder of Gut-Brain Interaction, Psychopathological Comorbidities and Consumption of Ultra-Processed Food in Pediatric Anorexia Nervosa.

Nutrients. 2024-3-13

引用本文的文献

[1]
Management of Constipation in Eating Disorders-A Scoping Review.

J Hum Nutr Diet. 2025-8

[2]
Association between avoidant/restrictive food intake disorder risk, dietary attitudes and behaviors among Chinese patients with inflammatory bowel disease: a cross-sectional study.

BMC Gastroenterol. 2025-3-6

[3]
Association Between Functional Dyspepsia and Binge Eating Disorder: A Frequent, Often Overlooked Overlap Clinical Presentation.

J Neurogastroenterol Motil. 2025-1-31

[4]
Characterisation of the Plasma and Faecal Metabolomes in Participants with Functional Gastrointestinal Disorders.

Int J Mol Sci. 2024-12-16

[5]
The integration of complementary and integrative health and whole person health in gastrointestinal disorders: a narrative review.

Transl Gastroenterol Hepatol. 2024-8-6

[6]
Harnessing the Gut Microbiome: To What Extent Can Pre-/Probiotics Alleviate Immune Activation in Autism Spectrum Disorder?

Nutrients. 2024-7-23

[7]
Role of social media in the presentation of disorders of gut-brain interaction: Review and recommendations.

J Gastroenterol Hepatol. 2024-11

[8]
Prevalence of Rome IV Pediatric Diagnostic Questionnaire-Assessed Disorder of Gut-Brain Interaction, Psychopathological Comorbidities and Consumption of Ultra-Processed Food in Pediatric Anorexia Nervosa.

Nutrients. 2024-3-13

[9]
Gastrointestinal diagnoses in patients with eating disorders: A retrospective cohort study 2010-2020.

Neurogastroenterol Motil. 2024-6

[10]
The Disease Spectrum and Natural History of Patients With Abdominal Bloating or Distension: A Longitudinal Study.

J Neurogastroenterol Motil. 2024-1-30

本文引用的文献

[1]
History of trying exclusion diets and association with avoidant/restrictive food intake disorder in neurogastroenterology patients: A retrospective chart review.

Neurogastroenterol Motil. 2023-3

[2]
Future of Brain-Gut Behavior Therapies: Mediators and Moderators.

Gastroenterol Clin North Am. 2022-12

[3]
ACG Clinical Guideline: Gastroparesis.

Am J Gastroenterol. 2022-8-1

[4]
AGA Clinical Practice Update on the Role of Diet in Irritable Bowel Syndrome: Expert Review.

Gastroenterology. 2022-5

[5]
Management of bloating.

Neurogastroenterol Motil. 2022-3

[6]
ACG Clinical Guideline for the Diagnosis and Management of Gastroesophageal Reflux Disease.

Am J Gastroenterol. 2022-1-1

[7]
Eating disorder symptoms, including avoidant/restrictive food intake disorder, in patients with disorders of gut-brain interaction.

Neurogastroenterol Motil. 2022-8

[8]
A Rome Working Team Report on Brain-Gut Behavior Therapies for Disorders of Gut-Brain Interaction.

Gastroenterology. 2022-1

[9]
Pilot Study of a Self-Administered Hypnosis Intervention for Functional Dyspepsia.

Dig Dis Sci. 2022-7

[10]
Gastric accommodation: Physiology, diagnostic modalities, clinical relevance, and therapies.

Neurogastroenterol Motil. 2021-12

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