Update on Dietary Management of Childhood Functional Abdominal Pain Disorders

被引：14
作者：
Chumpitazi, Bruno P. [1 ]
机构：
[1] Baylor Coll Med, Dept Pediat, 6701 Fannin St,MWT 1010-03, Houston, TX 77030 USA
来源：
GASTROENTEROLOGY CLINICS OF NORTH AMERICA | 2018年 / 47卷 / 04期
关键词：
Irritable bowel syndrome; Diet; Dyspepsia; FODMAP; Microbiome; Fiber; IRRITABLE-BOWEL-SYNDROME; QUALITY-OF-LIFE; LOW FODMAP DIET; LACTOSE-INTOLERANCE; DOUBLE-BLIND; GASTROINTESTINAL SYMPTOMS; FRUCTOSE MALABSORPTION; GUT MICROBIOME; CHILDREN; RECURRENT;
D O I：
10.1016/j.gtc.2018.07.001
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
Diet plays a significant role for children with functional abdominal pain disorders. A large majority of these children identify at least 1 food that exacerbates their symptoms. Malabsorbed carbohydrates may have both direct and microbiome-mediated physiologic effects. There are several factors associated with carbohydrate symptom generation, including (1) the amount ingested, (2) ingestion with a meal, (3) small intestinal enzymatic activity, (4) consuming the carbohydrate with microorganisms capable of breaking down the carbohydrate, (5) the gut microbiome, and (6) host factors. Therapies include carbohydrate (single and/or comprehensive) restriction, selective prebiotic and/or enzyme supplementation. Fiber supplementation may also be beneficial.
引用
收藏
页码：715 / 726
页数：12
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