腹痛相关的功能性胃肠病（abdominal pain-predominant function gastro-intestinal disorder，FGID）是引起小儿功能性慢性腹痛的最主要原因，生命早期的不良事件如新生期母婴分离、感染、疼痛刺激、急性应激等容易导致儿童时期乃至成...腹痛相关的功能性胃肠病（abdominal pain-predominant function gastro-intestinal disorder，FGID）是引起小儿功能性慢性腹痛的最主要原因，生命早期的不良事件如新生期母婴分离、感染、疼痛刺激、急性应激等容易导致儿童时期乃至成年出现FGID症状，食物过敏尤其是牛奶过敏是婴幼儿最常见的过敏性疾病，可能是导致儿童时期乃至成年后出现功能性胃肠病症状的主要原因，早期识别及治疗食物过敏对儿童FGID防治具有重要意义。该文就食物过敏与儿童腹痛相关的FGID的关系及防治进展作一综述。展开更多
Irritable bowel syndrome(IBS)is a chronic functional disorder of the gastrointestinal tract and is one of the most commonly diagnosed gastrointestinal diseases.The impact of IBS on the general population is large due ...Irritable bowel syndrome(IBS)is a chronic functional disorder of the gastrointestinal tract and is one of the most commonly diagnosed gastrointestinal diseases.The impact of IBS on the general population is large due to its high prevalence,suboptimal medical treatments and significant economic burden.The pathophysiology of IBS is complex and treatments are often symptom-specific.Themost common therapeutic approaches for IBS include education and reassurance,lifestyles(especially nutrition-based interventions),peripherally acting medications(which typically target motility),centrally actingmedications(which target visceral hypersensitivity and pain)and psychological interventions(which aim to reduce the effects of stress or symptom-specific anxiety).A beneficial dietary approach might include the following measures:a diet low in fermentable oligo-,di-and monosaccharides and polyols(FODMAPs),limitation or exclusion of gas-producing foods and/or lactose and gluten and fiber supplementation in selected cases.New therapeutic agents,namely nutraceutics,are also an interesting option in the management of IBS patients.This paper will focus on available dietary interventions for IBS and will review the evidence for nutrition-based therapies.展开更多
文摘腹痛相关的功能性胃肠病（abdominal pain-predominant function gastro-intestinal disorder，FGID）是引起小儿功能性慢性腹痛的最主要原因，生命早期的不良事件如新生期母婴分离、感染、疼痛刺激、急性应激等容易导致儿童时期乃至成年出现FGID症状，食物过敏尤其是牛奶过敏是婴幼儿最常见的过敏性疾病，可能是导致儿童时期乃至成年后出现功能性胃肠病症状的主要原因，早期识别及治疗食物过敏对儿童FGID防治具有重要意义。该文就食物过敏与儿童腹痛相关的FGID的关系及防治进展作一综述。
文摘Irritable bowel syndrome(IBS)is a chronic functional disorder of the gastrointestinal tract and is one of the most commonly diagnosed gastrointestinal diseases.The impact of IBS on the general population is large due to its high prevalence,suboptimal medical treatments and significant economic burden.The pathophysiology of IBS is complex and treatments are often symptom-specific.Themost common therapeutic approaches for IBS include education and reassurance,lifestyles(especially nutrition-based interventions),peripherally acting medications(which typically target motility),centrally actingmedications(which target visceral hypersensitivity and pain)and psychological interventions(which aim to reduce the effects of stress or symptom-specific anxiety).A beneficial dietary approach might include the following measures:a diet low in fermentable oligo-,di-and monosaccharides and polyols(FODMAPs),limitation or exclusion of gas-producing foods and/or lactose and gluten and fiber supplementation in selected cases.New therapeutic agents,namely nutraceutics,are also an interesting option in the management of IBS patients.This paper will focus on available dietary interventions for IBS and will review the evidence for nutrition-based therapies.
