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과민성 장증후군의 최근 동향: 식이와 과민성 장증후군
Current Issues on Irritable Bowel Syndrome: Diet and Irritable Bowel Syndrome

대한소화기학회지 2014년 64권 3호 p.142 ~ p.147

김정환(Kim Jeong-Hwan) - 건국대학교 의학전문대학원 내과학교실 소화기내과
성인경(Sung In-Kyung) - 건국대학교 의학전문대학원 내과학교실 소화기내과

Abstract

Irritable bowel syndrome (IBS) is one of the most prevalent functional gastrointestinal disorders. It is a multifactorial disorder with its pathogenesis attributed to abnormal gastrointestinal motility, low-grade inflammation, visceral hypersensitivity, communication in the gut-brain axis, and so on. Traditionally, IBS has been treated with diet and lifestyle modification, fiber supplementation, psychological therapy, and pharmacological treatment. Carbohydrates are intermingled with a wide range of regularly consumed food including grains such as rye and wheat, vegetables, fruits, and legumes. Short-chain carbohydrates that are poorly absorbed exert osmotic effects in the intestinal lumen increasing its water volume, and are rapidly fermented by bacteria with consequent gas production. These effects may be the basis for the induction of most of the gastrointestinal symptoms. This has led to the use of lactose-free diets in those with lactose intolerance and of fructose-reduced diets for fructose malabsorption. As all poorly absorbed short-chain carbohydrates have similar and additive effects in the intestine, a concept has been developed to regard them collectively as FODMAPs (fermentable oligosaccharides, disaccharides, monosaccharides and polyols) and to evaluate a dietary approach that restricts them all. Based on the observational and comparative studies, and randomized-controlled trials, FODMAPs have been shown to trigger gastrointestinal symptoms in patients with IBS. Food choice via the low FODMAPs and potentially other dietary strategies is now a realistic and efficacious therapeutic approach for managing symptoms of IBS.

키워드

Irritable bowel syndrome, Diet, FODMAPs

KMID : 0614620140640030142

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학회

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주제코드

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연구대상(Population)

연구참여(Sample size)

대상성별(Gender)

질병특성(Condition Category)

연구환경(Setting)

연구설계(Study Design)

연구기간(Period)

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유효성결과(Recomendation)

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DOI

KCD코드

ICD 03

건강보험코드

과민성 장증후군의 최근 동향: 식이와 과민성 장증후군 Current Issues on Irritable Bowel Syndrome: Diet and Irritable Bowel Syndrome

Abstract

키워드

과민성 장증후군의 최근 동향: 식이와 과민성 장증후군
Current Issues on Irritable Bowel Syndrome: Diet and Irritable Bowel Syndrome