KMID : 0812020180240030437
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Korean Journal of Neurogastroenterology and Motility 2018 Volume.24 No. 3 p.437 ~ p.451
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Use of Dietary Management in Irritable Bowel Syndrome: Results of a Survey of Over 1500 United States Gastroenterologists
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Lenhart Adrienne
Ferch Courtney Shaw Michael Chey William D
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Abstract
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Background/Aims: Dietary therapy is increasingly used to manage gastrointestinal (GI) symptoms in patients with irritable bowel syndrome (IBS). We aim to gauge United States gastroenterologists¡¯ perceptions of dietary therapies for IBS.
Methods: We distributed a 22-question survey to members of the American College of Gastroenterology. The survey was developed by gastroenterologists and survey methodologists. We collected information pertaining to demographics, providers¡¯ interpretation of their patients¡¯ views on dietary therapy, and gastroenterologists¡¯ perceptions on dietary therapy, and nutritional counseling in IBS.
Results: One thousand five hundred and sixty-two (14%) surveys were collected. Nearly 60% of participants reported that patients commonly associate food with GI symptoms. IBS patients most commonly use a trial and error approach followed by a lactose-free and gluten-free diet, and rarely use a low fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (FODMAP) diet on their own. Over half of providers recommend diet therapy to £¾ 75% of IBS patients and most commonly recommend a low FODMAP diet. Only 21% of gastroenterologists commonly refer IBS patients to registered dietitians, and only 30% use GI dietitians. Female providers were more likely than males to recommend dietary changes as the primary mode of therapy (OR, 1.43 [1.09-1.88]; P = 0.009).
Conclusions: Our national survey identified enthusiasm for diet treatment of IBS. While patients infrequently tried a low FODMAP diet on their own, GI providers commonly recommended this diet. Only a minority of GI providers refer their IBS patients to a registered dietitian for nutrition counseling and few refer patients to dietitians with specialized GI training. Female providers were more enthusiastic about diet therapies than males.
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KEYWORD
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Dietitian, Diet therapy, Irritable bowel syndrome
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