Zopf Y, Dieterich W (2021)
Publication Type: Journal article
Publication year: 2021
Book Volume: 65
Pages Range: 39-50
Journal Issue: 1
The treatment of irritable bowel syndrome (IBS) is often not satisfactory. In addition to medications for diarrhea, constipation, and abdominal pain, the therapeutic focus is directed on nutrition. Often a change in diet, adapted to the National Institute for Health and Care Excellence(NICE)-criteria, leads to satisfactory symptom relief. Recent data demonstrate that a low Fermentable Oligo-, Di- and Monosaccharides and Polyols(FODMAP)-diet yields an efficient approach to the treatment of functional gastrointestinal symptoms. The focus of this diet is not only the exclusion of individual carbohydrates such as lactose or fructose, but a general reduction in the consumption of short-chain carbohydrates. However, the diet is very restrictive and should be supervised by experienced professionals. A low FODMAP diet has been shown to change the pattern of the intestinal microbiota. The aim is therefore, after an initially strict diet, to use targeted provocations to identify the FODMAP-containing foods that do not cause symptoms and to reintroduce them into the diet. Various probiotics are available to maintain or restore a healthy intestinal flora. Currently, however, no valid data exist on which preparations are particularly suitable and ultimately an effect must be determined on an individual basis. In the absence of symptom relief under a low-FODMAP diet, a gluten-free diet can be considered, since presumably some patients with diagnosed IBS suffer from gluten sensitivity.
APA:
Zopf, Y., & Dieterich, W. (2021). Einfluss der Ernährung bei Reizdarmsyndrom. Tägliche Praxis, 65(1), 39-50.
MLA:
Zopf, Yurdagül, and Walburga Dieterich. "Einfluss der Ernährung bei Reizdarmsyndrom." Tägliche Praxis 65.1 (2021): 39-50.
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