Meditation over medication for irritable bowel syndrome? on exercise and alternative treatments for irritable bowel syndrome

被引：20
作者：
Fredrick Asare
Stine Störsrud
Magnus Simrén
机构：
[1] Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, University of Gothenburg
[2] University of Gothenburg Centre for Person-Centered Care(GPCC), Sahlgrenska Academy, University of Gothenburg
来源：
Current Gastroenterology Reports | 2012年 / 14卷 / 4期
关键词：
Acupuncture; Cognitive behavioral therapy; Complimentary alternative treatment; Diet; Gut-directed hypnotherapy; Irritable bowel syndrome; Mindfulness; Physical activity; Probiotics; Psychodynamic therapy;
D O I：
10.1007/s11894-012-0268-2
中图分类号：
学科分类号：
摘要：
Complimentary alternative treatment regimens are widely used in irritable bowel syndrome (IBS), but the evidence supporting their use varies. For psychological treatment options, such as cognitive behavioral therapy, mindfulness, gut-directed hypnotherapy, and psychodynamic therapy, the evidence supporting their use in IBS patients is strong, but the availability limits their use in clinical practice. Dietary interventions are commonly included in the management of IBS patients, but these are primarily based on studies assessing physiological function in relation to dietary components, and to a lesser degree upon research examining the role of dietary components in the therapeutic management of IBS. Several probiotic products improve a range of symptoms in IBS patients. Physical activity is of benefit for health in general and recent data implicates its usefulness also for IBS patients. Acupuncture does not seem to have an effect beyond placebo in IBS. A beneficial effect of some herbal treatments has been reported. © Springer Science+Business Media, LLC 2012.
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页码：283 / 289
页数：6
相关论文
共 69 条
[1]  
Longstreth G.F., Thompson W.G., Chey W.D., Houghton L.A., Mearin F., Spiller R.C., Functional bowel disorders, Gastroenterology, 130, pp. 1480-1491, (2006)
[2]  
Drossman D.A., Chang L., Bellamy N., Gallo-Torres H.E., Lembo A., Mearin F., Norton N.J., Whorwell P., Severity in irritable bowel syndrome: A rome foundation working team report, Am J Gastroenterol., 106, pp. 1749-1759, (2011)
[3]  
Lovell R.M., Ford A.C., Global prevalence of and risk factors for irritable bowel syndrome: A meta-analysis, Clin Gastroenterol Hepatol, (2012)
[4]  
Drossman D.A., Creed F.H., Olden K.W., Svedlund J., Toner B.B., Whitehead W.E., Psychosocial aspects of the functional gastrointestinal disorders, Gut, 45, SUPPL. 2, (1999)
[5]  
Gunnarsson J., Simren M., Peripheral factors in the pathophysiology of irritable bowel syndrome, Dig Liver Dis, 41, pp. 788-793, (2009)
[6]  
Akehurst R., Kaltenthaler E., Treatment of irritable bowel syndrome: A review of randomised controlled trials, Gut, 48, 2, pp. 272-282, (2001)
[7]  
Kearney D.J., Brown-Chang J., Complementary and alternative medicine for IBS in adults: Mind-body interventions, Nat Clin Pract Gastroenterol Hepatol., 5, pp. 624-636, (2008)
[8]  
Koloski N.A., Talley N.J., Huskic S.S., Boyce P.M., Predictors of conventional and alternative health care seeking for irritable bowel syndrome and functional dyspepsia, Alimentary Pharmacology and Therapeutics, 17, 6, pp. 841-851, (2003)
[9]  
Kong S.C., Hurlstone D.P., Pocock C.Y., Walkington L.A., Farquharson N.R., Bramble M.G., McAlindon M.E., Sanders D.S., The incidence of self-prescribed oral complementary and alternative medicine use by patients with gastrointestinal diseases, Journal of Clinical Gastroenterology, 39, 2, pp. 138-141, (2005)
[10]  
Van Tilburg M.A., Palsson O.S., Levy R.L., Feld A.D., Turner M.J., Drossman D.A., Whitehead W.E., Complementary and alternative medicine use and cost in functional bowel disorders: A six month prospective study in a large HMO, BMC Complement Altern Med., 8, (2008)
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