Evidence‐based dietary management of functional gastrointestinal symptoms: The FODMAP approach

@article{Gibson2010EvidencebasedDM,
  title={Evidence‐based dietary management of functional gastrointestinal symptoms: The FODMAP approach},
  author={Peter R. Gibson and Susan Joy Shepherd},
  journal={Journal of Gastroenterology and Hepatology},
  year={2010},
  volume={25}
}
Background and Aim:  Functional gastrointestinal symptoms are common and their management is often a difficult clinical problem. The link between food intake and symptom induction is recognized. This review aims to describe the evidence base for restricting rapidly fermentable, short‐chain carbohydrates (FODMAPs) in controlling such symptoms. 
Food intolerance in functional bowel disorders
  • P. Gibson
  • Medicine
    Journal of gastroenterology and hepatology
  • 2011
TLDR
This reviews aims to discuss strategies commonly applied in dietary change as an evidence‐based therapy in patients with functional bowel disorders.
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Diets low in fermentable sugars (low‐FODMAP diets) are increasingly adopted by patients with functional gastrointestinal disorders (FGID), but outcome predictors are unclear.
Review article: evidence‐based dietary advice for patients with inflammatory bowel disease
The therapeutic effect of enteral nutrition in Crohn's disease (CD) and the epidemiological associations between diet and inflammatory bowel disease (IBD) implicate diet in IBD causation. There is
Randomised clinical trial: low‐FODMAP rye bread vs. regular rye bread to relieve the symptoms of irritable bowel syndrome
Grains are high in FODMAPs (Fermentable Oligo‐, Di‐, Monosaccharides And Polyols) and often considered as triggers of IBS symptoms.
Manipulation of dietary short chain carbohydrates alters the pattern of gas production and genesis of symptoms in irritable bowel syndrome
TLDR
Reduction of short‐chain poorly absorbed carbohydrates (FODMAPs) in the diet reduces symptoms of irritable bowel syndrome, and symptoms produced in response to diets that differed only in FODMAP content are compared.
The role of diet in the management of IBS
TLDR
People with IBS should according to their symptoms but should also continue to consume a balanced diet without any restrictions, dietary advice may be a useful adjunct to treatment in the management of IBS.
The relationship between FODMAP intake and acute gastrointestinal symptoms in adults with Irritable Bowel Syndrome (IBS)
TLDR
The author states that the present manuscript aims to provide a history of the field and some of the techniques used in its development, as well as some suggestions for further study, which are currently being considered.
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References

SHOWING 1-10 OF 63 REFERENCES
Review article: lactose intolerance in clinical practice – myths and realities
TLDR
A large number of people in the world have hypolactasia, but not everyone has lactose intolerance, as several nutritional and genetic factors influence tolerance.
Pilot study on the effect of reducing dietary FODMAP intake on bowel function in patients without a colon
TLDR
Reduction of the intake of FODMAPs may be efficacious in reducing stool frequency in patients without pouchitis, depending on dietary adherence and baseline diet.
The effect of functional gastrointestinal disorders on psychological comorbidity and quality of life in patients with inflammatory bowel disease
TLDR
This study focuses on the treatment of functional gastrointestinal disorders in patients with inflammatory bowel disease (IBD) and the psychological comorbidities of anxiety and depression.
Comparison of the prevalence of fructose and lactose malabsorption across chronic intestinal disorders
Background  Fructose malabsorption, lactose malabsorption and an early rise in breath hydrogen after lactulose (ERBHAL) may play roles in induction of symptoms in gastrointestinal conditions.
Reduction of dietary poorly absorbed short-chain carbohydrates (FODMAPs) improves abdominal symptoms in patients with inflammatory bowel disease-a pilot study.
TLDR
Overall abdominal symptoms, abdominal pain, bloating, wind and diarrhoea improved in patients with Crohn's disease and ulcerative colitis, and reduction of FODMAP intake offers an efficacious strategy for patients with IBD who have concurrent functional gut symptoms.
Dietary triggers of abdominal symptoms in patients with irritable bowel syndrome: randomized placebo-controlled evidence.
TLDR
In patients with IBS and fructose malabsorption, dietary restriction of fructose and/or fructans is likely to be responsible for symptomatic improvement, suggesting efficacy is due to restriction of poorly absorbed short-chain carbohydrates in general.
Four cases of long-standing diarrhoea and colic pains cured by fructose-free diet--a pathogenetic discussion.
TLDR
Four patients with a long history of abdominal swelling, colic pains and diarrhoea cured by a fructose-free diet might have a partial fructose malabsorption.
Personal view: food for thought – western lifestyle and susceptibility to Crohn's disease. The FODMAP hypothesis
TLDR
The association of Crohn's disease with westernization has implicated lifestyle factors in pathogenesis, and diet is a likely candidate, but evidence for specific changes in dietary habits and/or intake has been lacking.
Fructose malabsorption and symptoms of irritable bowel syndrome: guidelines for effective dietary management.
TLDR
This comprehensive fructose malabsorption dietary therapy achieves a high level of sustained adherence and good symptomatic response and was significantly better in those adherent than nonadherent.
Dietary fructose intolerance: diet modification can impact self-rated health and symptom control.
TLDR
Symptoms can improve and self-rated health does improve in DFI patients willing to adhere to a low fructose diet, as well as in patients referred to a pancreato-biliary clinic.
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