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关于肠易激综合征病因及发病机制的最新数据

The Latest Data Concerning the Etiology and Pathogenesis of Irritable Bowel Syndrome.

作者信息

Ionescu Vlad Alexandru, Gheorghe Gina, Georgescu Teodor Florin, Bacalbasa Nicolae, Gheorghe Florentina, Diaconu Camelia Cristina

机构信息

Faculty of Medicine, University of Medicine and Pharmacy Carol Davila Bucharest, 050474 Bucharest, Romania.

Internal Medicine Department, Clinical Emergency Hospital of Bucharest, 105402 Bucharest, Romania.

出版信息

J Clin Med. 2024 Aug 29;13(17):5124. doi: 10.3390/jcm13175124.

DOI:10.3390/jcm13175124
PMID:39274340
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11395839/
Abstract

Globally, irritable bowel syndrome (IBS) is present in approximately 10% of the population. While this condition does not pose a risk of complications, it has a substantial impact on the patient's quality of life. Moreover, this disease has a significant financial impact on healthcare systems. This includes the direct costs associated with the diagnosis and treatment of these patients, as well as the indirect costs that arise from work absenteeism and reduced productivity. In light of these data, recent research has focused on elucidating the pathophysiological basis of this condition in order to improve the quality of life for affected individuals. Despite extensive research to date, we still do not fully understand the precise mechanisms underlying IBS. Numerous studies have demonstrated the involvement of the gut-brain axis, visceral hypersensitivity, gastrointestinal dysmotility, gut microbiota dysbiosis, food allergies and intolerances, low-grade mucosal inflammation, genetic factors, and psychosocial factors. The acquisition of new data is crucial for the advancement of optimal therapeutic approaches aimed at enhancing the general health of these patients while simultaneously reducing the financial burden associated with this ailment.

摘要

在全球范围内,肠易激综合征(IBS)在大约10%的人口中存在。虽然这种疾病不会带来并发症风险,但它对患者的生活质量有重大影响。此外,这种疾病对医疗系统有重大的经济影响。这包括与这些患者的诊断和治疗相关的直接成本,以及因旷工和生产力下降而产生的间接成本。鉴于这些数据,最近的研究集中在阐明这种疾病的病理生理基础,以改善受影响个体的生活质量。尽管迄今为止进行了广泛的研究,但我们仍未完全了解IBS潜在的确切机制。大量研究表明,肠道-脑轴、内脏超敏反应、胃肠动力障碍、肠道微生物群失调、食物过敏和不耐受、低度黏膜炎症、遗传因素以及心理社会因素都与之相关。获取新数据对于推进旨在改善这些患者总体健康状况、同时减轻与该疾病相关的经济负担的最佳治疗方法至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a96/11395839/8fa55dd27b77/jcm-13-05124-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a96/11395839/157c05bf738c/jcm-13-05124-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a96/11395839/8fa55dd27b77/jcm-13-05124-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a96/11395839/157c05bf738c/jcm-13-05124-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a96/11395839/8fa55dd27b77/jcm-13-05124-g002.jpg

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Sci Rep. 2024 Feb 24;14(1):4553. doi: 10.1038/s41598-024-55363-4.
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The Role of the FODMAP Diet in IBS.FODMAP 饮食在 IBS 中的作用。
Nutrients. 2024 Jan 26;16(3):370. doi: 10.3390/nu16030370.
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The Importance of Visceral Hypersensitivity in Irritable Bowel Syndrome-Plant Metabolites in IBS Treatment.内脏高敏感性在肠易激综合征中的重要性——植物代谢产物在肠易激综合征治疗中的应用
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Colorectal Cancer: From Risk Factors to Oncogenesis.结直肠癌:从风险因素到致癌机制。
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