Carbohydrate Elimination or Adaptation Diet for Symptoms of Intestinal Discomfort in IBD : Rationales for “Gibsons’ Conundrum”
Joint Authors
Fung, Q. Manyan
Szilagyi, Andrew
Source
International Journal of Inflammation
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-19, 19 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-02-29
Country of Publication
Egypt
No. of Pages
19
Main Subjects
Abstract EN
Therapeutic use of carbohydrates in inflammatory bowel diseases (IBDs) is discussed from two theoretical, apparent diametrically opposite perspectives: regular ingestion of prebiotics or withdrawal of virtually all carbohydrate components.
Pathogenesis of IBD is discussed connecting microbial flora, host immunity, and genetic interactions.
The best studied genetic example, NOD2 in Crohn’s disease, is highlighted as a model which encompasses these interactions and has been shown to depend on butyrate for normal function.
The role of these opposing concepts in management of irritable bowel syndrome (IBS) is contrasted with what is known in IBD.
The conclusion reached is that, while both approaches may alleviate symptoms in both IBS and IBD, there is insufficient data yet to determine whether both approaches lead to equivalent bacterial effects in mollifying the immune system.
This is particularly relevant in IBD.
As such, caution is urged to use long-term carbohydrate withdrawal in IBD in remission to control IBS-like symptoms.
American Psychological Association (APA)
Fung, Q. Manyan& Szilagyi, Andrew. 2012. Carbohydrate Elimination or Adaptation Diet for Symptoms of Intestinal Discomfort in IBD : Rationales for “Gibsons’ Conundrum”. International Journal of Inflammation،Vol. 2012, no. 2012, pp.1-19.
https://search.emarefa.net/detail/BIM-476081
Modern Language Association (MLA)
Fung, Q. Manyan& Szilagyi, Andrew. Carbohydrate Elimination or Adaptation Diet for Symptoms of Intestinal Discomfort in IBD : Rationales for “Gibsons’ Conundrum”. International Journal of Inflammation No. 2012 (2012), pp.1-19.
https://search.emarefa.net/detail/BIM-476081
American Medical Association (AMA)
Fung, Q. Manyan& Szilagyi, Andrew. Carbohydrate Elimination or Adaptation Diet for Symptoms of Intestinal Discomfort in IBD : Rationales for “Gibsons’ Conundrum”. International Journal of Inflammation. 2012. Vol. 2012, no. 2012, pp.1-19.
https://search.emarefa.net/detail/BIM-476081
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-476081