Working Team Report
Role of Alimentation in Irritable Bowel SyndromeDapoigny M.a · Stockbrügger R.W.b · Azpiroz F.c · Collins S.d · Coremans G.e · Müller-Lissner S.f · Oberndorff A.b · Pace F.g · Smout A.h · Vatn M.i · Whorwell P.j
aService de Gastroentérologie, Hôtel-Dieu, Clermont-Ferrand, France; bDepartment of Gastroenterology/Hepatology, University Hospital, Maastricht, The Netherlands; cDigestive Systems Research Unit, Hospital General Vall d’Hebron, Barcelona, Spain; dDivision of Gastroenterology, Intestinal Diseases Research Unit, Hamilton, Ont., Canada; eDivision of Gastroenterology, Department of Internal Medicine, University Hospital Gasthuisberg, KU, Leuven, Belgium; fAbteilung Innere Medizin, Städtisches Krankenhaus Weissensee, Berlin, Germany; gGastrointestinal Unit, Ospedale ‘L Sacco’, Milan, Italy; hDepartment of Gastroenterology, Academisch Ziekenhuis, Utrecht, The Netherlands; iMedical Department A, Rikshospitalet, Oslo, Norway, and jDepartment of Medicine, University Hospital of South Manchester, Manchester, UK
Do you have an account?
- Rent for 48h to view
- Buy Cloud Access for unlimited viewing via different devices
- Synchronizing in the ReadCube Cloud
- Printing and saving restrictions apply
Rental: USD 8.50
Cloud: USD 20.00
Article / Publication Details
Background: Different food items are made responsible for irritable bowel syndrome (IBS) symptoms, but the physiopathology of IBS remains unclear. Aims: During a meeting in Nice, France, experts of the European Working Team of the IBiS Club discussed selected data regarding the relationships between alimentation, food items (including fibers) and IBS symptoms. Methods/Results: Food allergy remains a difficult diagnosis, but medical and general history, presence of general symptoms such as skin rash, and hypersensitivity tests may help in achieving a positive diagnosis. On the other hand, food intolerance is more confusing because of the subjectivity of the relationship between ingestion of certain foods and the appearance of clinical symptoms. Different food items which are commonly implicated in adverse reactions mimicking IBS were found to be stimulants for the gut, suggesting that patients with predominant diarrhea IBS have to be carefully questioned about consumption of different kinds of food (i.e., coffee, alcohol, chewing gum, soft drinks) and not only on lactose ingestion. Gas production is discussed on the basis of retention of intestinal gas as well as on malabsorption of fermentable substrates. The role of a large amount of this kind of substrate reaching the colon is suggested as a potential mechanism of IBS-type symptoms in overeating patients. Regarding the role of fiber in IBS, the expert group concluded that fibers are not inert substances and that they could trigger pain or bloating in some IBS patients. Conclusion: Despite numerous reviews on this subject, it is very difficult to give general dietary advice to IBS patients, but dieteticians may have a positive role in managing such patients.
© 2003 S. Karger AG, Basel
Article / Publication Details
Copyright / Drug Dosage / DisclaimerCopyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher or, in the case of photocopying, direct payment of a specified fee to the Copyright Clearance Center.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.