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Mistakes in dietary management of IBS and how to avoid them

Jean W.M. Muris, Daniel Keszthelyi, Jenny Brouns, Zlatan Mujagic

Summary

AI Generated

People with IBS commonly identify food as a symptom trigger and often try dietary modifications independently, yet surveys show less than 10% value dietary intervention from their GP despite nearly all GPs starting treatment with nutritional advice.

  • More than 85% of people with IBS indicate that food is one of the triggers for their gastrointestinal symptoms.
  • Many people with IBS have tried diets, eliminated certain foods, taken supplements or used over-the-counter remedies before consulting a doctor or dietitian.
  • According to surveys of patients' expectations in primary care, patients with IBS expect their GP to provide reassurance or drug treatments, but less than 10% value dietary intervention.
  • Almost 95% of general practitioners report that they start the treatment of IBS by giving nutritional advice.
  • Dietary interventions are given a prominent place in guidelines as both first- and second-line treatments for IBS.
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Thanks for your feedback.

This summary was generated by an AI large language model based on the content transcript. It is for informational purposes only and should not be considered a substitute for clinical judgment. Always rely on your professional expertise and the full clinical context when making clinical decisions.

References

Mistakes
References
Mistake 1 Mistake 2 Mistake 3 Mistake 4 Mistake 5 Mistake 6 Mistake 7 Mistake 8 Mistake 9 Mistake 10
1.
Van den Houte K, et al. Prevalence and impact of self-reported irritable bowel symptoms in the general population. United European Gastroenterol J 2019; 7: 307–315. [https://onlinelibrary.wiley.com/doi/10.1177/2050640618821804] [Link]
2.
Tornkvist NT, et al. Health care utilization of individuals with Rome IV irritable bowel syndrome in the general population. United European Gastroenterol J, 2021; 9: 1178–1188. [https://onlinelibrary.wiley.com/doi/10.1002/ueg2.12153] [Link]
3.
Bohn L, et al. Self-reported food-related gastrointestinal symptoms in IBS are common and associated with more severe symptoms and reduced quality of life. Am J Gastroenterol 2013; 108: 634–641. [Link]
4.
Sayuk GS, Wolf R and Chang L. Comparison of symptoms, healthcare utilization, and treatment in diagnosed and undiagnosed individuals with diarrhea-predominant irritable bowel syndrome. Am J Gastroenterol 2017; 112: 892–899. [Link]
5.
Bijkerk CJ, et al. Irritable bowel syndrome in primary care: the patients' and doctors' views on symptoms, etiology and management. Can J Gastroenterol 2003; 17: 363–368. [Link]
6.
Lacy BE, et al. ACG Clinical Guideline: management of irritable bowel syndrome. Am J Gastroenterol 2021; 116: 17–44. [Link]
7.
Vasant DH, et al. British Society of Gastroenterology guidelines on the management of irritable bowel syndrome. Gut 2021; 70: 1214–1240. [Link]
8.
McKenzie YA, et al. British Dietetic Association systematic review and evidence-based practice guidelines for the dietary management of irritable bowel syndrome in adults (2016 update). J Hum Nutr Diet 2016; 29: 549–575. [Link]
9.
Spiller R. Impact of diet on symptoms of the irritable bowel syndrome. Nutrients 2021; 13: 575. [Link]
10.
Moayyedi P, et al. Irritable bowel syndrome diagnosis and management: A simplified algorithm for clinical practice. United European Gastroenterol J 2017; 5: 773–788. [Link]
11.
Tigchelaar EF, et al. Habitual diet and diet quality in irritable bowel syndrome: a case-control study. Neurogastroenterol Motil 2017; 29: e13151. [Link]
12.
Onyimba F, et al. Food allergies and intolerances: a clinical approach to the diagnosis and management of adverse reactions to food. Clin Gastroenterol Hepatol 2021; 19: 2230–2240.e1. [Link]
13.
Lea R and Whorwell PJ. The role of food intolerance in irritable bowel syndrome. Gastroenterol Clin North Am 2005; 34: 247–255. [Link]
14.
Aguilera-Lizarraga J, et al. Local immune response to food antigens drives meal-induced abdominal pain. Nature 2021; 590: 151–156. [Link]
15.
Barbara G, et al. Mast cell-dependent excitation of visceral-nociceptive sensory neurons in irritable bowel syndrome. Gastroenterology 2007; 132: 26–37. [Link]
16.
Fabisiak A, et al. Targeting histamine receptors in irritable bowel syndrome: a critical appraisal. J Neurogastroenterol Motil 2017; 23: 341–348. [Link]
17.
Klooker TK, et al. The mast cell stabiliser ketotifen decreases visceral hypersensitivity and improves intestinal symptoms in patients with irritable bowel syndrome. Gut 2010; 59: 1213–1221. [Link]
18.
Essa H, et al. Hydrogen and methane breath test results are negatively associated with IBS and may reflect transit time in post-surgical patients. Neurogastroenterol Motil 2021; 33: e14033. [Link]
19.
Black, CJ and Ford AC. Rational investigations in irritable bowel syndrome. Frontline Gastroenterol 2020; 11: 140–147. [Link]
20.
Bonder MJ, et al. The effect of host genetics on the gut microbiome. Nat Genet 2016; 48: 1407–1412. [Link]
21.
So D, et al. Dietary fibres and IBS: translating functional characteristics to clinical value in the era of personalised medicine. Gut 2021; 70: 2383–2394. [Link]
22.
Gunn D, et al. Psyllium reduces inulin-induced colonic gas production in IBS: MRI and in vitro fermentation studies. Gut Epub ahead of print 5 August 2021. DOI: 10.1136/gutjnl-2021-324784. [Link]
23.
Moayyedi P, et al. The effect of fiber supplementation on irritable bowel syndrome: a systematic review and meta-analysis. Am J Gastroenterol 2014; 109: 1367–1374. [Link]
24.
Wilson B, et al. Prebiotics in irritable bowel syndrome and other functional bowel disorders in adults: a systematic review and meta-analysis of randomized controlled trials. Am J Clin Nutr 2019; 109: 1098–1111. [Link]
25.
Dionne J, et al. A systematic review and meta-analysis evaluating the efficacy of a gluten-free diet and a low FODMAPs diet in treating symptoms of irritable bowel syndrome. Am J Gastroenterol 2018; 113: 1290 –1300. [Link]
26.
Barone M, et al. Evaluation of non-celiac gluten sensitivity in patients with previous diagnosis of irritable bowel syndrome: a randomized double-blind placebo-controlled crossover trial. Nutrients 2020; 12: 705. [Link]
27.
Skodje GI, et al. Fructan, rather than gluten, induces symptoms in patients with self-reported non-celiac gluten sensitivity. Gastroenterology 2018; 154: 529–539.e2. [Link]
28.
Cuccioloni M, et al. Interfering with the high-affinity interaction between wheat amylase trypsin inhibitor CM3 and toll-like receptor 4: in silico and biosensor-based studies. Sci Rep 2017; 7: 13169. [Link]
29.
Black CJ, Staudacher HM and Ford AC. Efficacy of a low FODMAP diet in irritable bowel syndrome: systematic review and network meta-analysis. Gut 2021; Aug 10; gutjnl-2021-325214. [Link]
30.
Böhn L, et al. Diet low in FODMAPs reduces symptoms of irritable bowel syndrome as well as traditional dietary advice: a randomized controlled trial. Gastroenterology 2015; 149: 1399–1407.e2. [Link]
31.
Vandeputte D and Joossens M. Effects of low and high FODMAP diets on human gastrointestinal microbiota composition in adults with intestinal diseases: a systematic review. Microorganisms 2020; 8: 1638. [Link]
32.
Wang XJ, et al. Review article: biological mechanisms for symptom causation by individual FODMAP subgroups — the case for a more personalised approach to dietary restriction. Aliment Pharmacol Ther 2019; 50: 517–529. [Link]
33.
Bennet SMP, et al. Multivariate modelling of faecal bacterial profiles of patients with IBS predicts responsiveness to a diet low in FODMAPs. Gut 2018; 67: 872–881. [Link]
34.
Zamani M, Alizadeh-Tabari S and Zamani V. Systematic review with meta-analysis: the prevalence of anxiety and depression in patients with irritable bowel syndrome. Aliment Pharmacol Ther 2019; 50: 132–143. [Link]
35.
Simons M, et al. Narrative review: Risk of eating disorders and nutritional deficiencies with dietary therapies for irritable bowel syndrome. Neurogastroenterol Motil 2021; 34: e14188. [Link]

Abstract

People with irritable bowel syndrome (IBS) experience chronic intermittent symptoms, such as abdominal pain, bloating and/or altered bowel movements. These symptoms may negatively impact their daily life, prohibiting participation in social activities or leading to work absenteeism, and they are associated with increased healthcare utilisation.More than 85% of people with IBS indicate that food is one of the triggers for their gastrointestinal symptoms. Many of them have also tried diets, eliminated certain foods, taken supplements or used over-the-counter remedies before consulting a doctor or dietitian.4 Somewhat contradictorily, according to surveys of patients’ expectations in primary care, patients with IBS expect their general practitioner to provide reassurance or drug treatments, but less than 10% value dietary intervention. This is despite the fact that almost 95% of general practitioners report that they start the treatment of IBS by giving nutritional advice.5 Dietary interventions are also given a prominent place in the guidelines as both first- and second-line treatments for IBS.


Topics

Neurogastroenterology & Motility

Citation

Mujagic Z, Brouns J, Keszthelyi D and Muris JWM. Mistakes in dietary management of IBS and how to avoid them. UEG Education 2022; 22: 1–4.

Published

2022

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Share via Email Share on Facebook Share on X Share on LinkedIn Share on Bluesky

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Mistakes in Familial Mediterranean Fever and how to avoid them

Manik Gemilyan, Gagik Hakobyan

Summary

AI Generated

Summary is not available for this content yet.

Download PDF

Was this helpful?

Thanks for your feedback.

This summary was generated by an AI large language model based on the content transcript. It is for informational purposes only and should not be considered a substitute for clinical judgment. Always rely on your professional expertise and the full clinical context when making clinical decisions.

References

Mistakes
References
Mistake 1 Mistake 2 Mistake 3 Mistake 4 Mistake 5 Mistake 6 Mistake 7 Mistake 8 Mistake 9 Mistake 10
1.
Van den Houte K, et al. Prevalence and impact of self-reported irritable bowel symptoms in the general population. United European Gastroenterol J 2019; 7: 307–315. [https://onlinelibrary.wiley.com/doi/10.1177/2050640618821804] [Link]
2.
Tornkvist NT, et al. Health care utilization of individuals with Rome IV irritable bowel syndrome in the general population. United European Gastroenterol J, 2021; 9: 1178–1188. [https://onlinelibrary.wiley.com/doi/10.1002/ueg2.12153] [Link]
3.
Bohn L, et al. Self-reported food-related gastrointestinal symptoms in IBS are common and associated with more severe symptoms and reduced quality of life. Am J Gastroenterol 2013; 108: 634–641. [Link]
4.
Sayuk GS, Wolf R and Chang L. Comparison of symptoms, healthcare utilization, and treatment in diagnosed and undiagnosed individuals with diarrhea-predominant irritable bowel syndrome. Am J Gastroenterol 2017; 112: 892–899. [Link]
5.
Bijkerk CJ, et al. Irritable bowel syndrome in primary care: the patients' and doctors' views on symptoms, etiology and management. Can J Gastroenterol 2003; 17: 363–368. [Link]
6.
Lacy BE, et al. ACG Clinical Guideline: management of irritable bowel syndrome. Am J Gastroenterol 2021; 116: 17–44. [Link]
7.
Vasant DH, et al. British Society of Gastroenterology guidelines on the management of irritable bowel syndrome. Gut 2021; 70: 1214–1240. [Link]
8.
McKenzie YA, et al. British Dietetic Association systematic review and evidence-based practice guidelines for the dietary management of irritable bowel syndrome in adults (2016 update). J Hum Nutr Diet 2016; 29: 549–575. [Link]
9.
Spiller R. Impact of diet on symptoms of the irritable bowel syndrome. Nutrients 2021; 13: 575. [Link]
10.
Moayyedi P, et al. Irritable bowel syndrome diagnosis and management: A simplified algorithm for clinical practice. United European Gastroenterol J 2017; 5: 773–788. [Link]
11.
Tigchelaar EF, et al. Habitual diet and diet quality in irritable bowel syndrome: a case-control study. Neurogastroenterol Motil 2017; 29: e13151. [Link]
12.
Onyimba F, et al. Food allergies and intolerances: a clinical approach to the diagnosis and management of adverse reactions to food. Clin Gastroenterol Hepatol 2021; 19: 2230–2240.e1. [Link]
13.
Lea R and Whorwell PJ. The role of food intolerance in irritable bowel syndrome. Gastroenterol Clin North Am 2005; 34: 247–255. [Link]
14.
Aguilera-Lizarraga J, et al. Local immune response to food antigens drives meal-induced abdominal pain. Nature 2021; 590: 151–156. [Link]
15.
Barbara G, et al. Mast cell-dependent excitation of visceral-nociceptive sensory neurons in irritable bowel syndrome. Gastroenterology 2007; 132: 26–37. [Link]
16.
Fabisiak A, et al. Targeting histamine receptors in irritable bowel syndrome: a critical appraisal. J Neurogastroenterol Motil 2017; 23: 341–348. [Link]
17.
Klooker TK, et al. The mast cell stabiliser ketotifen decreases visceral hypersensitivity and improves intestinal symptoms in patients with irritable bowel syndrome. Gut 2010; 59: 1213–1221. [Link]
18.
Essa H, et al. Hydrogen and methane breath test results are negatively associated with IBS and may reflect transit time in post-surgical patients. Neurogastroenterol Motil 2021; 33: e14033. [Link]
19.
Black, CJ and Ford AC. Rational investigations in irritable bowel syndrome. Frontline Gastroenterol 2020; 11: 140–147. [Link]
20.
Bonder MJ, et al. The effect of host genetics on the gut microbiome. Nat Genet 2016; 48: 1407–1412. [Link]
21.
So D, et al. Dietary fibres and IBS: translating functional characteristics to clinical value in the era of personalised medicine. Gut 2021; 70: 2383–2394. [Link]
22.
Gunn D, et al. Psyllium reduces inulin-induced colonic gas production in IBS: MRI and in vitro fermentation studies. Gut Epub ahead of print 5 August 2021. DOI: 10.1136/gutjnl-2021-324784. [Link]
23.
Moayyedi P, et al. The effect of fiber supplementation on irritable bowel syndrome: a systematic review and meta-analysis. Am J Gastroenterol 2014; 109: 1367–1374. [Link]
24.
Wilson B, et al. Prebiotics in irritable bowel syndrome and other functional bowel disorders in adults: a systematic review and meta-analysis of randomized controlled trials. Am J Clin Nutr 2019; 109: 1098–1111. [Link]
25.
Dionne J, et al. A systematic review and meta-analysis evaluating the efficacy of a gluten-free diet and a low FODMAPs diet in treating symptoms of irritable bowel syndrome. Am J Gastroenterol 2018; 113: 1290 –1300. [Link]
26.
Barone M, et al. Evaluation of non-celiac gluten sensitivity in patients with previous diagnosis of irritable bowel syndrome: a randomized double-blind placebo-controlled crossover trial. Nutrients 2020; 12: 705. [Link]
27.
Skodje GI, et al. Fructan, rather than gluten, induces symptoms in patients with self-reported non-celiac gluten sensitivity. Gastroenterology 2018; 154: 529–539.e2. [Link]
28.
Cuccioloni M, et al. Interfering with the high-affinity interaction between wheat amylase trypsin inhibitor CM3 and toll-like receptor 4: in silico and biosensor-based studies. Sci Rep 2017; 7: 13169. [Link]
29.
Black CJ, Staudacher HM and Ford AC. Efficacy of a low FODMAP diet in irritable bowel syndrome: systematic review and network meta-analysis. Gut 2021; Aug 10; gutjnl-2021-325214. [Link]
30.
Böhn L, et al. Diet low in FODMAPs reduces symptoms of irritable bowel syndrome as well as traditional dietary advice: a randomized controlled trial. Gastroenterology 2015; 149: 1399–1407.e2. [Link]
31.
Vandeputte D and Joossens M. Effects of low and high FODMAP diets on human gastrointestinal microbiota composition in adults with intestinal diseases: a systematic review. Microorganisms 2020; 8: 1638. [Link]
32.
Wang XJ, et al. Review article: biological mechanisms for symptom causation by individual FODMAP subgroups — the case for a more personalised approach to dietary restriction. Aliment Pharmacol Ther 2019; 50: 517–529. [Link]
33.
Bennet SMP, et al. Multivariate modelling of faecal bacterial profiles of patients with IBS predicts responsiveness to a diet low in FODMAPs. Gut 2018; 67: 872–881. [Link]
34.
Zamani M, Alizadeh-Tabari S and Zamani V. Systematic review with meta-analysis: the prevalence of anxiety and depression in patients with irritable bowel syndrome. Aliment Pharmacol Ther 2019; 50: 132–143. [Link]
35.
Simons M, et al. Narrative review: Risk of eating disorders and nutritional deficiencies with dietary therapies for irritable bowel syndrome. Neurogastroenterol Motil 2021; 34: e14188. [Link]

Abstract

Familial Mediterranean fever (FMF), also called periodic disease, Armenian disease, etc., is a prototypical autoinflammatory disorder where the underlying mechanism is the dysfunction of innate immunity, resulting in unprovoked episodes of inflammation.1 Although considered rare worldwide, it is prevalent in people of Mediterranean origin; however, one can expect to encounter patients in all parts of the modern world. FMF is a monogenic disease with autosomal recessive inheritance.2 Unlike other monogenic disorders, the diagnosis remains largely clinical, and it is important to understand the limitations of genetic testing. Another distinguishing feature is the well-established effectiveness of lifelong monotherapy with colchicine in preventing attacks and complications.3

Topics

Primary Care

Published

2025

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Gut brain axis

Jutta Keller 1

Affiliations

1 Israelitic Krankenhaus, Hamburg, Germany

Summary

AI Generated

Summary is not available for this content yet.

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Thanks for your feedback.

This summary was generated by an AI large language model based on the content transcript. It is for informational purposes only and should not be considered a substitute for clinical judgment. Always rely on your professional expertise and the full clinical context when making clinical decisions.

Abstract

Topics

Neurogastroenterology & Motility

Published

2024

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Functional bowel disorders with diarrhoea: UEG and ESNM guidelines

Iago Rodríguez-Lago 1, Edoardo Vincenzo Savarino 2

Affiliations

1 Hospital Universitario de Galdakao, Bilbao, Spain

2 Division of Gastroenterology, University of Padua, Italy

Summary

AI Generated

Summary is not available for this content yet.

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Thanks for your feedback.

This summary was generated by an AI large language model based on the content transcript. It is for informational purposes only and should not be considered a substitute for clinical judgment. Always rely on your professional expertise and the full clinical context when making clinical decisions.

Abstract

Topics

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Published

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Summary

AI Generated

Summary is not available for this content yet.

Download PDF

Was this helpful?

Thanks for your feedback.

This summary was generated by an AI large language model based on the content transcript. It is for informational purposes only and should not be considered a substitute for clinical judgment. Always rely on your professional expertise and the full clinical context when making clinical decisions.

References

Mistakes
References
Mistake 1 Mistake 2 Mistake 3 Mistake 4 Mistake 5 Mistake 6 Mistake 7 Mistake 8 Mistake 9 Mistake 10
1.
Van den Houte K, et al. Prevalence and impact of self-reported irritable bowel symptoms in the general population. United European Gastroenterol J 2019; 7: 307–315. [https://onlinelibrary.wiley.com/doi/10.1177/2050640618821804] [Link]
2.
Tornkvist NT, et al. Health care utilization of individuals with Rome IV irritable bowel syndrome in the general population. United European Gastroenterol J, 2021; 9: 1178–1188. [https://onlinelibrary.wiley.com/doi/10.1002/ueg2.12153] [Link]
3.
Bohn L, et al. Self-reported food-related gastrointestinal symptoms in IBS are common and associated with more severe symptoms and reduced quality of life. Am J Gastroenterol 2013; 108: 634–641. [Link]
4.
Sayuk GS, Wolf R and Chang L. Comparison of symptoms, healthcare utilization, and treatment in diagnosed and undiagnosed individuals with diarrhea-predominant irritable bowel syndrome. Am J Gastroenterol 2017; 112: 892–899. [Link]
5.
Bijkerk CJ, et al. Irritable bowel syndrome in primary care: the patients' and doctors' views on symptoms, etiology and management. Can J Gastroenterol 2003; 17: 363–368. [Link]
6.
Lacy BE, et al. ACG Clinical Guideline: management of irritable bowel syndrome. Am J Gastroenterol 2021; 116: 17–44. [Link]
7.
Vasant DH, et al. British Society of Gastroenterology guidelines on the management of irritable bowel syndrome. Gut 2021; 70: 1214–1240. [Link]
8.
McKenzie YA, et al. British Dietetic Association systematic review and evidence-based practice guidelines for the dietary management of irritable bowel syndrome in adults (2016 update). J Hum Nutr Diet 2016; 29: 549–575. [Link]
9.
Spiller R. Impact of diet on symptoms of the irritable bowel syndrome. Nutrients 2021; 13: 575. [Link]
10.
Moayyedi P, et al. Irritable bowel syndrome diagnosis and management: A simplified algorithm for clinical practice. United European Gastroenterol J 2017; 5: 773–788. [Link]
11.
Tigchelaar EF, et al. Habitual diet and diet quality in irritable bowel syndrome: a case-control study. Neurogastroenterol Motil 2017; 29: e13151. [Link]
12.
Onyimba F, et al. Food allergies and intolerances: a clinical approach to the diagnosis and management of adverse reactions to food. Clin Gastroenterol Hepatol 2021; 19: 2230–2240.e1. [Link]
13.
Lea R and Whorwell PJ. The role of food intolerance in irritable bowel syndrome. Gastroenterol Clin North Am 2005; 34: 247–255. [Link]
14.
Aguilera-Lizarraga J, et al. Local immune response to food antigens drives meal-induced abdominal pain. Nature 2021; 590: 151–156. [Link]
15.
Barbara G, et al. Mast cell-dependent excitation of visceral-nociceptive sensory neurons in irritable bowel syndrome. Gastroenterology 2007; 132: 26–37. [Link]
16.
Fabisiak A, et al. Targeting histamine receptors in irritable bowel syndrome: a critical appraisal. J Neurogastroenterol Motil 2017; 23: 341–348. [Link]
17.
Klooker TK, et al. The mast cell stabiliser ketotifen decreases visceral hypersensitivity and improves intestinal symptoms in patients with irritable bowel syndrome. Gut 2010; 59: 1213–1221. [Link]
18.
Essa H, et al. Hydrogen and methane breath test results are negatively associated with IBS and may reflect transit time in post-surgical patients. Neurogastroenterol Motil 2021; 33: e14033. [Link]
19.
Black, CJ and Ford AC. Rational investigations in irritable bowel syndrome. Frontline Gastroenterol 2020; 11: 140–147. [Link]
20.
Bonder MJ, et al. The effect of host genetics on the gut microbiome. Nat Genet 2016; 48: 1407–1412. [Link]
21.
So D, et al. Dietary fibres and IBS: translating functional characteristics to clinical value in the era of personalised medicine. Gut 2021; 70: 2383–2394. [Link]
22.
Gunn D, et al. Psyllium reduces inulin-induced colonic gas production in IBS: MRI and in vitro fermentation studies. Gut Epub ahead of print 5 August 2021. DOI: 10.1136/gutjnl-2021-324784. [Link]
23.
Moayyedi P, et al. The effect of fiber supplementation on irritable bowel syndrome: a systematic review and meta-analysis. Am J Gastroenterol 2014; 109: 1367–1374. [Link]
24.
Wilson B, et al. Prebiotics in irritable bowel syndrome and other functional bowel disorders in adults: a systematic review and meta-analysis of randomized controlled trials. Am J Clin Nutr 2019; 109: 1098–1111. [Link]
25.
Dionne J, et al. A systematic review and meta-analysis evaluating the efficacy of a gluten-free diet and a low FODMAPs diet in treating symptoms of irritable bowel syndrome. Am J Gastroenterol 2018; 113: 1290 –1300. [Link]
26.
Barone M, et al. Evaluation of non-celiac gluten sensitivity in patients with previous diagnosis of irritable bowel syndrome: a randomized double-blind placebo-controlled crossover trial. Nutrients 2020; 12: 705. [Link]
27.
Skodje GI, et al. Fructan, rather than gluten, induces symptoms in patients with self-reported non-celiac gluten sensitivity. Gastroenterology 2018; 154: 529–539.e2. [Link]
28.
Cuccioloni M, et al. Interfering with the high-affinity interaction between wheat amylase trypsin inhibitor CM3 and toll-like receptor 4: in silico and biosensor-based studies. Sci Rep 2017; 7: 13169. [Link]
29.
Black CJ, Staudacher HM and Ford AC. Efficacy of a low FODMAP diet in irritable bowel syndrome: systematic review and network meta-analysis. Gut 2021; Aug 10; gutjnl-2021-325214. [Link]
30.
Böhn L, et al. Diet low in FODMAPs reduces symptoms of irritable bowel syndrome as well as traditional dietary advice: a randomized controlled trial. Gastroenterology 2015; 149: 1399–1407.e2. [Link]
31.
Vandeputte D and Joossens M. Effects of low and high FODMAP diets on human gastrointestinal microbiota composition in adults with intestinal diseases: a systematic review. Microorganisms 2020; 8: 1638. [Link]
32.
Wang XJ, et al. Review article: biological mechanisms for symptom causation by individual FODMAP subgroups — the case for a more personalised approach to dietary restriction. Aliment Pharmacol Ther 2019; 50: 517–529. [Link]
33.
Bennet SMP, et al. Multivariate modelling of faecal bacterial profiles of patients with IBS predicts responsiveness to a diet low in FODMAPs. Gut 2018; 67: 872–881. [Link]
34.
Zamani M, Alizadeh-Tabari S and Zamani V. Systematic review with meta-analysis: the prevalence of anxiety and depression in patients with irritable bowel syndrome. Aliment Pharmacol Ther 2019; 50: 132–143. [Link]
35.
Simons M, et al. Narrative review: Risk of eating disorders and nutritional deficiencies with dietary therapies for irritable bowel syndrome. Neurogastroenterol Motil 2021; 34: e14188. [Link]

Abstract

Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD) is a subclassification of steatotic liver disease (SLD), defined as the presence of excess triglyceride storage in the liver in conjunction with at least one cardiometabolic risk factor and no other discernible cause.1 Cirrhosis secondary to MASH is the most common cause of liver disease in the world and is the fastest-growing indication for liver transplantation, but it also has a >50% recurrence rate post-transplantation.

Topics

Hepatobiliary

Citation

Townsend SA and Newsome PN. Mistakes in nonalcoholic fatty liver disease and how to avoid them. UEG Education 2017; 17: 39–41.

Published

2024

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UEG Mistakes In Articles
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Mistakes in short bowel and how to avoid them

Simon Gabe, Jeremy Nightingale, Siddhartha Oke

Summary

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Summary is not available for this content yet.

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This summary was generated by an AI large language model based on the content transcript. It is for informational purposes only and should not be considered a substitute for clinical judgment. Always rely on your professional expertise and the full clinical context when making clinical decisions.

References

Mistakes
References
Mistake 1 Mistake 2 Mistake 3 Mistake 4 Mistake 5 Mistake 6 Mistake 7 Mistake 8 Mistake 9 Mistake 10
1.
Van den Houte K, et al. Prevalence and impact of self-reported irritable bowel symptoms in the general population. United European Gastroenterol J 2019; 7: 307–315. [https://onlinelibrary.wiley.com/doi/10.1177/2050640618821804] [Link]
2.
Tornkvist NT, et al. Health care utilization of individuals with Rome IV irritable bowel syndrome in the general population. United European Gastroenterol J, 2021; 9: 1178–1188. [https://onlinelibrary.wiley.com/doi/10.1002/ueg2.12153] [Link]
3.
Bohn L, et al. Self-reported food-related gastrointestinal symptoms in IBS are common and associated with more severe symptoms and reduced quality of life. Am J Gastroenterol 2013; 108: 634–641. [Link]
4.
Sayuk GS, Wolf R and Chang L. Comparison of symptoms, healthcare utilization, and treatment in diagnosed and undiagnosed individuals with diarrhea-predominant irritable bowel syndrome. Am J Gastroenterol 2017; 112: 892–899. [Link]
5.
Bijkerk CJ, et al. Irritable bowel syndrome in primary care: the patients' and doctors' views on symptoms, etiology and management. Can J Gastroenterol 2003; 17: 363–368. [Link]
6.
Lacy BE, et al. ACG Clinical Guideline: management of irritable bowel syndrome. Am J Gastroenterol 2021; 116: 17–44. [Link]
7.
Vasant DH, et al. British Society of Gastroenterology guidelines on the management of irritable bowel syndrome. Gut 2021; 70: 1214–1240. [Link]
8.
McKenzie YA, et al. British Dietetic Association systematic review and evidence-based practice guidelines for the dietary management of irritable bowel syndrome in adults (2016 update). J Hum Nutr Diet 2016; 29: 549–575. [Link]
9.
Spiller R. Impact of diet on symptoms of the irritable bowel syndrome. Nutrients 2021; 13: 575. [Link]
10.
Moayyedi P, et al. Irritable bowel syndrome diagnosis and management: A simplified algorithm for clinical practice. United European Gastroenterol J 2017; 5: 773–788. [Link]
11.
Tigchelaar EF, et al. Habitual diet and diet quality in irritable bowel syndrome: a case-control study. Neurogastroenterol Motil 2017; 29: e13151. [Link]
12.
Onyimba F, et al. Food allergies and intolerances: a clinical approach to the diagnosis and management of adverse reactions to food. Clin Gastroenterol Hepatol 2021; 19: 2230–2240.e1. [Link]
13.
Lea R and Whorwell PJ. The role of food intolerance in irritable bowel syndrome. Gastroenterol Clin North Am 2005; 34: 247–255. [Link]
14.
Aguilera-Lizarraga J, et al. Local immune response to food antigens drives meal-induced abdominal pain. Nature 2021; 590: 151–156. [Link]
15.
Barbara G, et al. Mast cell-dependent excitation of visceral-nociceptive sensory neurons in irritable bowel syndrome. Gastroenterology 2007; 132: 26–37. [Link]
16.
Fabisiak A, et al. Targeting histamine receptors in irritable bowel syndrome: a critical appraisal. J Neurogastroenterol Motil 2017; 23: 341–348. [Link]
17.
Klooker TK, et al. The mast cell stabiliser ketotifen decreases visceral hypersensitivity and improves intestinal symptoms in patients with irritable bowel syndrome. Gut 2010; 59: 1213–1221. [Link]
18.
Essa H, et al. Hydrogen and methane breath test results are negatively associated with IBS and may reflect transit time in post-surgical patients. Neurogastroenterol Motil 2021; 33: e14033. [Link]
19.
Black, CJ and Ford AC. Rational investigations in irritable bowel syndrome. Frontline Gastroenterol 2020; 11: 140–147. [Link]
20.
Bonder MJ, et al. The effect of host genetics on the gut microbiome. Nat Genet 2016; 48: 1407–1412. [Link]
21.
So D, et al. Dietary fibres and IBS: translating functional characteristics to clinical value in the era of personalised medicine. Gut 2021; 70: 2383–2394. [Link]
22.
Gunn D, et al. Psyllium reduces inulin-induced colonic gas production in IBS: MRI and in vitro fermentation studies. Gut Epub ahead of print 5 August 2021. DOI: 10.1136/gutjnl-2021-324784. [Link]
23.
Moayyedi P, et al. The effect of fiber supplementation on irritable bowel syndrome: a systematic review and meta-analysis. Am J Gastroenterol 2014; 109: 1367–1374. [Link]
24.
Wilson B, et al. Prebiotics in irritable bowel syndrome and other functional bowel disorders in adults: a systematic review and meta-analysis of randomized controlled trials. Am J Clin Nutr 2019; 109: 1098–1111. [Link]
25.
Dionne J, et al. A systematic review and meta-analysis evaluating the efficacy of a gluten-free diet and a low FODMAPs diet in treating symptoms of irritable bowel syndrome. Am J Gastroenterol 2018; 113: 1290 –1300. [Link]
26.
Barone M, et al. Evaluation of non-celiac gluten sensitivity in patients with previous diagnosis of irritable bowel syndrome: a randomized double-blind placebo-controlled crossover trial. Nutrients 2020; 12: 705. [Link]
27.
Skodje GI, et al. Fructan, rather than gluten, induces symptoms in patients with self-reported non-celiac gluten sensitivity. Gastroenterology 2018; 154: 529–539.e2. [Link]
28.
Cuccioloni M, et al. Interfering with the high-affinity interaction between wheat amylase trypsin inhibitor CM3 and toll-like receptor 4: in silico and biosensor-based studies. Sci Rep 2017; 7: 13169. [Link]
29.
Black CJ, Staudacher HM and Ford AC. Efficacy of a low FODMAP diet in irritable bowel syndrome: systematic review and network meta-analysis. Gut 2021; Aug 10; gutjnl-2021-325214. [Link]
30.
Böhn L, et al. Diet low in FODMAPs reduces symptoms of irritable bowel syndrome as well as traditional dietary advice: a randomized controlled trial. Gastroenterology 2015; 149: 1399–1407.e2. [Link]
31.
Vandeputte D and Joossens M. Effects of low and high FODMAP diets on human gastrointestinal microbiota composition in adults with intestinal diseases: a systematic review. Microorganisms 2020; 8: 1638. [Link]
32.
Wang XJ, et al. Review article: biological mechanisms for symptom causation by individual FODMAP subgroups — the case for a more personalised approach to dietary restriction. Aliment Pharmacol Ther 2019; 50: 517–529. [Link]
33.
Bennet SMP, et al. Multivariate modelling of faecal bacterial profiles of patients with IBS predicts responsiveness to a diet low in FODMAPs. Gut 2018; 67: 872–881. [Link]
34.
Zamani M, Alizadeh-Tabari S and Zamani V. Systematic review with meta-analysis: the prevalence of anxiety and depression in patients with irritable bowel syndrome. Aliment Pharmacol Ther 2019; 50: 132–143. [Link]
35.
Simons M, et al. Narrative review: Risk of eating disorders and nutritional deficiencies with dietary therapies for irritable bowel syndrome. Neurogastroenterol Motil 2021; 34: e14188. [Link]

Abstract

Short bowel is a condition that occurs after single or multiple intestinal resections. The incidence of short bowel in Europe is 2 per million of the population and it carries with it lifelong morbidity and mortality. The initial recognition and management of short bowel in the adult population tends to occur in the postoperative period and in the secondary care setting, where specialist input from clinicians experienced in short bowel is often lacking.

Topics

Small Intestine & Nutrition

Citation

Oke SM, Nightingale JM and Gabe SM Mistakes in short bowel and how to avoid them. UEG Education 2018; 18: 7–11.

Published

2018

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Mistakes in the management of carbohydrate intolerance and how to avoid them

Johann Hammer Johann Hammer, Heinz Florian Hammer, Mark Fox

UEG Mistakes In Articles
Share via Email Share on Facebook Share on X Share on LinkedIn Share on Bluesky

Log in to continue.

This content is part of Gutflix. Log in with your myUEG account, or create one free, to watch it.

Log In Create a free account

Not sure what you can access? Learn more about account types.

Mistakes in the management of carbohydrate intolerance and how to avoid them

Johann Hammer, Heinz Florian Hammer, Mark Fox

Summary

AI Generated

Summary is not available for this content yet.

Download PDF

Was this helpful?

Thanks for your feedback.

This summary was generated by an AI large language model based on the content transcript. It is for informational purposes only and should not be considered a substitute for clinical judgment. Always rely on your professional expertise and the full clinical context when making clinical decisions.

References

Mistakes
References
Mistake 1 Mistake 2 Mistake 3 Mistake 4 Mistake 5 Mistake 6 Mistake 7 Mistake 8 Mistake 9 Mistake 10
1.
Van den Houte K, et al. Prevalence and impact of self-reported irritable bowel symptoms in the general population. United European Gastroenterol J 2019; 7: 307–315. [https://onlinelibrary.wiley.com/doi/10.1177/2050640618821804] [Link]
2.
Tornkvist NT, et al. Health care utilization of individuals with Rome IV irritable bowel syndrome in the general population. United European Gastroenterol J, 2021; 9: 1178–1188. [https://onlinelibrary.wiley.com/doi/10.1002/ueg2.12153] [Link]
3.
Bohn L, et al. Self-reported food-related gastrointestinal symptoms in IBS are common and associated with more severe symptoms and reduced quality of life. Am J Gastroenterol 2013; 108: 634–641. [Link]
4.
Sayuk GS, Wolf R and Chang L. Comparison of symptoms, healthcare utilization, and treatment in diagnosed and undiagnosed individuals with diarrhea-predominant irritable bowel syndrome. Am J Gastroenterol 2017; 112: 892–899. [Link]
5.
Bijkerk CJ, et al. Irritable bowel syndrome in primary care: the patients' and doctors' views on symptoms, etiology and management. Can J Gastroenterol 2003; 17: 363–368. [Link]
6.
Lacy BE, et al. ACG Clinical Guideline: management of irritable bowel syndrome. Am J Gastroenterol 2021; 116: 17–44. [Link]
7.
Vasant DH, et al. British Society of Gastroenterology guidelines on the management of irritable bowel syndrome. Gut 2021; 70: 1214–1240. [Link]
8.
McKenzie YA, et al. British Dietetic Association systematic review and evidence-based practice guidelines for the dietary management of irritable bowel syndrome in adults (2016 update). J Hum Nutr Diet 2016; 29: 549–575. [Link]
9.
Spiller R. Impact of diet on symptoms of the irritable bowel syndrome. Nutrients 2021; 13: 575. [Link]
10.
Moayyedi P, et al. Irritable bowel syndrome diagnosis and management: A simplified algorithm for clinical practice. United European Gastroenterol J 2017; 5: 773–788. [Link]
11.
Tigchelaar EF, et al. Habitual diet and diet quality in irritable bowel syndrome: a case-control study. Neurogastroenterol Motil 2017; 29: e13151. [Link]
12.
Onyimba F, et al. Food allergies and intolerances: a clinical approach to the diagnosis and management of adverse reactions to food. Clin Gastroenterol Hepatol 2021; 19: 2230–2240.e1. [Link]
13.
Lea R and Whorwell PJ. The role of food intolerance in irritable bowel syndrome. Gastroenterol Clin North Am 2005; 34: 247–255. [Link]
14.
Aguilera-Lizarraga J, et al. Local immune response to food antigens drives meal-induced abdominal pain. Nature 2021; 590: 151–156. [Link]
15.
Barbara G, et al. Mast cell-dependent excitation of visceral-nociceptive sensory neurons in irritable bowel syndrome. Gastroenterology 2007; 132: 26–37. [Link]
16.
Fabisiak A, et al. Targeting histamine receptors in irritable bowel syndrome: a critical appraisal. J Neurogastroenterol Motil 2017; 23: 341–348. [Link]
17.
Klooker TK, et al. The mast cell stabiliser ketotifen decreases visceral hypersensitivity and improves intestinal symptoms in patients with irritable bowel syndrome. Gut 2010; 59: 1213–1221. [Link]
18.
Essa H, et al. Hydrogen and methane breath test results are negatively associated with IBS and may reflect transit time in post-surgical patients. Neurogastroenterol Motil 2021; 33: e14033. [Link]
19.
Black, CJ and Ford AC. Rational investigations in irritable bowel syndrome. Frontline Gastroenterol 2020; 11: 140–147. [Link]
20.
Bonder MJ, et al. The effect of host genetics on the gut microbiome. Nat Genet 2016; 48: 1407–1412. [Link]
21.
So D, et al. Dietary fibres and IBS: translating functional characteristics to clinical value in the era of personalised medicine. Gut 2021; 70: 2383–2394. [Link]
22.
Gunn D, et al. Psyllium reduces inulin-induced colonic gas production in IBS: MRI and in vitro fermentation studies. Gut Epub ahead of print 5 August 2021. DOI: 10.1136/gutjnl-2021-324784. [Link]
23.
Moayyedi P, et al. The effect of fiber supplementation on irritable bowel syndrome: a systematic review and meta-analysis. Am J Gastroenterol 2014; 109: 1367–1374. [Link]
24.
Wilson B, et al. Prebiotics in irritable bowel syndrome and other functional bowel disorders in adults: a systematic review and meta-analysis of randomized controlled trials. Am J Clin Nutr 2019; 109: 1098–1111. [Link]
25.
Dionne J, et al. A systematic review and meta-analysis evaluating the efficacy of a gluten-free diet and a low FODMAPs diet in treating symptoms of irritable bowel syndrome. Am J Gastroenterol 2018; 113: 1290 –1300. [Link]
26.
Barone M, et al. Evaluation of non-celiac gluten sensitivity in patients with previous diagnosis of irritable bowel syndrome: a randomized double-blind placebo-controlled crossover trial. Nutrients 2020; 12: 705. [Link]
27.
Skodje GI, et al. Fructan, rather than gluten, induces symptoms in patients with self-reported non-celiac gluten sensitivity. Gastroenterology 2018; 154: 529–539.e2. [Link]
28.
Cuccioloni M, et al. Interfering with the high-affinity interaction between wheat amylase trypsin inhibitor CM3 and toll-like receptor 4: in silico and biosensor-based studies. Sci Rep 2017; 7: 13169. [Link]
29.
Black CJ, Staudacher HM and Ford AC. Efficacy of a low FODMAP diet in irritable bowel syndrome: systematic review and network meta-analysis. Gut 2021; Aug 10; gutjnl-2021-325214. [Link]
30.
Böhn L, et al. Diet low in FODMAPs reduces symptoms of irritable bowel syndrome as well as traditional dietary advice: a randomized controlled trial. Gastroenterology 2015; 149: 1399–1407.e2. [Link]
31.
Vandeputte D and Joossens M. Effects of low and high FODMAP diets on human gastrointestinal microbiota composition in adults with intestinal diseases: a systematic review. Microorganisms 2020; 8: 1638. [Link]
32.
Wang XJ, et al. Review article: biological mechanisms for symptom causation by individual FODMAP subgroups — the case for a more personalised approach to dietary restriction. Aliment Pharmacol Ther 2019; 50: 517–529. [Link]
33.
Bennet SMP, et al. Multivariate modelling of faecal bacterial profiles of patients with IBS predicts responsiveness to a diet low in FODMAPs. Gut 2018; 67: 872–881. [Link]
34.
Zamani M, Alizadeh-Tabari S and Zamani V. Systematic review with meta-analysis: the prevalence of anxiety and depression in patients with irritable bowel syndrome. Aliment Pharmacol Ther 2019; 50: 132–143. [Link]
35.
Simons M, et al. Narrative review: Risk of eating disorders and nutritional deficiencies with dietary therapies for irritable bowel syndrome. Neurogastroenterol Motil 2021; 34: e14188. [Link]

Abstract

Carbohydrates not absorbed in the small intestine are fermented by colonic bacteria to organic acids and gases(e.g. carbon dioxide, hydrogen and methane), part of which is absorbed in the colon, the other part remaining in the lumen. Large interindividual differences have been demonstrated for the production of such acids and gas. Carbohydrate malabsorption can be diagnosed by using the hydrogen breath test, because the gases produced after administration of a provocative dose of carbohydrate are unique products of bacterial carbohydrate fermentation.

Topics

Small Intestine & Nutrition

Citation

Hammer HF, Hammer J and Fox M. Mistakes in the management of carbohydrate intolerance and how to avoid them. UEG Education 2019; 19: 9–14

Published

2019

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