Minhas Hadi J, Papamichael Konstantinos, Cheifetz Adam S, Gianotti Robert J
Department of Gastroenterology, Albany Medical Center, Albany NY, USA.
Division of Gastroenterology, Center for Inflammatory Bowel Disease, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Ave., Boston, MA 02215, USA.
Ther Adv Chronic Dis. 2023 Jul 3;14:20406223231182367. doi: 10.1177/20406223231182367. eCollection 2023.
Inflammatory bowel disease (IBD) is a chronic disease of the intestines. The pathophysiology of IBD, namely Crohn's disease and ulcerative colitis, is a complex interplay between environmental, genetic, and immune factors. Physicians and patients often seek complementary and alternative medicines (CAMs) as primary and supplementary treatment modalities. CAMs in IBD span a wide range of plants, herbs, pre/probiotics, and include formulations, such as cannabis, curcumin, fish oil, and De Simone Formulation. Dietary measures are also used to improve symptoms by attempting to target trigger foods and reducing inflammation. Examples include the specific carbohydrate diet, the Mediterranean diet, and a diet low in fermentable oligo-, di- and monosaccharides as well as polyols (FODMAP). We examine and review the most common complementary supplements and diets used by patients with IBD.
炎症性肠病（IBD）是一种肠道慢性疾病。IBD的病理生理学，即克罗恩病和溃疡性结肠炎，是环境、遗传和免疫因素之间的复杂相互作用。医生和患者常常寻求补充和替代医学（CAMs）作为主要和辅助治疗方式。IBD中的CAMs涵盖了多种植物、草药、益生菌/益生元，还包括一些制剂，如大麻、姜黄素、鱼油和德西蒙制剂。饮食措施也被用于改善症状，方法是尝试找出引发症状的食物并减轻炎症。例子包括特定碳水化合物饮食、地中海饮食以及低可发酵寡糖、双糖、单糖和多元醇（FODMAP）饮食。我们研究并综述了IBD患者最常用的补充剂和饮食。
