KMID : 1812020210270040574
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Journal of Neurogastroenterology and Motility 2021 Volume.27 No. 4 p.574 ~ p.580
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Perceived Gastrointestinal Symptoms and Association With Meals in a French Cohort of Patients With Irritable Bowel Syndrome
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Melchior Chloe
Fremaux Simon Jouet Pauline Macaigne Gilles Raynaud Jean-Jacques Facon Suzelle Iglicki Franck Taes Yannick Sabate Jean-Marc
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Abstract
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Background/Aims: The aim of our study is to evaluate the association between meals and perceived gastrointestinal symptoms in real life in a French cohort of irritable bowel syndrome (IBS) patients.
Methods: This prospective cross-sectional observational study included patients from the French association (association des patients souffrant du syndrome de l¡¯intestin irritable [APSSII]) of IBS. Data were collected on demographics, IBS subtype, dietary food, and meal-induced gastrointestinal symptoms from patient filled self-questionnaires or questionnaires.
Results: Eighty-four patients with IBS were included; 82.3% female with a mean age of 46.9 ¡¾ 15.7 years. Each transit pattern subtype represented one-third of the population. Forty-five percent of patients had severe IBS according to IBS-Severity Scoring System; mean IBS Quality of Life score was 53.9 ¡¾ 18.3. Patients believed that food could trigger or exacerbate gastrointestinal symptoms in 73.3% and 93.4%, respectively. Eighty-nine percent had already tried diets, mostly lactose free diet and low fermentable, oligosaccharides, disaccharides, monosaccharides, and polyols diet in 61.3% and 53.6% of cases. Thirty-nine percent of meals induced gastrointestinal symptoms. Meal-induced gastrointestinal symptoms were associated with severity and subtype but not with quality of life.
Conclusions: This study has confirmed the important link between gastrointestinal symptoms and food. Gastrointestinal symptoms induced by meals are frequent and associated with severity and IBS-diarrhea subtype. Our study also underlines patients¡¯ interest in food and diet. More knowledge is needed on food that triggers IBS symptoms but also on diet conditions in order to improve this condition.
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KEYWORD
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Food, Irritable bowel syndrome, Meals
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