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01-08-2018 | Editorial

Is a low FODMAP diet dangerous?

Authors: M. Bellini, A. Rossi

Published in: Techniques in Coloproctology | Issue 8/2018

Excerpt

Patients with irritable bowel syndrome (IBS) often identify food as one of the most common precipitants of their symptoms, significantly influencing their quality of life [1]. More than 60% of patients with IBS have already independently limited or excluded some food items from their diet before referral to a gastroenterologist [2]. …

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Bellini M, Usai-Satta P, Bove A, Bocchini R, Galeazzi F, Battaglia E, Alduini P, Buscarini E, Bassotti G, ChroCoDiTE Study Group, AIGO (2017) Chronic constipation diagnosis and treatment evaluation: the “CHRO.CO.DI.T.E.” study. BMC Gastroenterol 17(1):11. https://doi.org/10.1186/s12876-016-0556-7 CrossRefPubMedPubMedCentral

McKenzie YA, Bowyer RK, Leach H, Gulia P, Horobin J, O’Sullivan NA, Pettitt C, Reeves LB, Seamark L, Williams M, Thompson J, Lomer MC, IBS Dietetic Guideline Review Group on behalf of Gastroenterology Specialist Group of the British Dietetic Association (2016) 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 29(5):549–575. https://doi.org/10.1111/jhn.12385 CrossRefPubMed

Barrett JS, Gearry RB, Muir JG, Irving PM, Rose R, Rosella O, Haines ML, Shepherd SJ, Gibson PR (2010) Dietary poorly absorbed, short-chain carbohydrates increase delivery of water and fermentable substrates to the proximal colon. Aliment Pharmacol Ther 31(8):874–882. https://doi.org/10.1111/j.1365-2036.2010.04237.x CrossRefPubMed

Ong DK, Mitchell SB, Barrett JS, Shepherd SJ, Irving PM, Biesiekierski JR, Smith S, Gibson PR, Muir JG (2010) Manipulation of dietary short chain carbohydrates alters the pattern of gas production and genesis of symptoms in irritable bowel syndrome. J Gastroenterol Hepatol 25(8):1366–1373. https://doi.org/10.1111/j.1440-1746.2010.06370.x CrossRefPubMed

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Staudacher HM, Whelan K (2017) The low FODMAP diet: recent advances in understanding its mechanisms and efficacy in IBS. Gut 66(8):1517–1527. https://doi.org/10.1136/gutjnl-2017-313750 CrossRefPubMed

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O’Keeffe M, Jansen C, Martin L, Williams M, Seamark L, Staudacher HM, Irving PM, Whelan K, Lomer MC (2018) Long-term impact of the low-FODMAP diet on gastrointestinal symptoms, dietary intake, patient acceptability, and healthcare utilization in irritable bowel syndrome. Neurogastroenterol Motil. https://doi.org/10.1111/nmo.13154 CrossRefPubMed

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Harvie RM, Chisholm AW, Bisanz JE, Burton JP, Herbison P, Schultz K, Schultz M (2017) Long-term irritable bowel syndrome symptom control with reintroduction of selected FODMAPs. World J Gastroenterol 23(25):4632–4643. https://doi.org/10.3748/wjg.v23.i25.4632 CrossRefPubMedPubMedCentral

13.

Bellini M, Gambaccini D, Bazzichi L, Bassotti G, Mumolo MG, Fani B, Costa F, Ricchiuti A, de Bortoli N, Mosca M, Marchi S, Rossi A (2017) Bioelectrical impedance vector analysis in patients with irritable bowel syndrome on a low FODMAP diet: a pilot study. Tech Coloproctol 21(6):451–459. https://doi.org/10.1007/s10151-017-1639-3 CrossRefPubMed

14.

Shepherd SJ, Gibson PR (2006) Fructose malabsorption and symptoms of irritable bowel syndrome: guidelines for effective dietary management. J Am Diet Assoc 106:1631–1639CrossRefPubMed

Title: Is a low FODMAP diet dangerous?
Authors: M. Bellini
A. Rossi
Publication date: 01-08-2018
Publisher: Springer International Publishing
Published in: Techniques in Coloproctology / Issue 8/2018
Print ISSN: 1123-6337
Electronic ISSN: 1128-045X
DOI: https://doi.org/10.1007/s10151-018-1835-9

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