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Related Concept Videos

Drugs for Treatment of Diarrhea-Predominant IBS01:17

Drugs for Treatment of Diarrhea-Predominant IBS

Diarrhea-predominant irritable bowel syndrome (IBS-D) is a subtype of IBS characterized primarily by frequent, loose, or watery stools, abdominal pain, and abdominal discomfort. Therapeutic approaches to managing IBS-D include dietary changes, stress management techniques, and pharmaceutical interventions.
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Drugs for Treatment of Constipation-Predominant IBS

Pharmacological therapies for IBS-C are designed to alleviate abdominal discomfort and enhance bowel function. In patients with IBS-C, fiber supplements may help soften stools and decrease straining, but may also lead to increased gas production and bloating. Osmotic laxatives like milk of magnesia are frequently used to soften stools and increase stool frequency in IBS-C patients. In addition, two drugs approved for use in severe IBS-C adult cases are linaclotide (Linzess) and lubiprostone...
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Orthotopic Small Bowel Transplantation in Rats
09:16

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Published on: November 6, 2012

Hormonal therapy for short bowel syndrome.

D L Sigalet1, G R Martin

  • 1Department of Surgery, The Alberta Children's Hospital, Calgary, Canada.

Journal of Pediatric Surgery
|February 29, 2000
PubMed
Summary

This study shows peptide hormones like growth hormone (GH), insulin-like growth factor-1 (IGF-1), and glucagon-like peptide-2 (GLP-2) improve weight gain in a rat model of short bowel syndrome (SBS). These findings suggest potential new treatments for SBS patients.

Area of Science:

  • Gastroenterology
  • Endocrinology
  • Surgical Research

Background:

  • Short bowel syndrome (SBS) presents significant challenges in patient management.
  • Effective therapeutic strategies for SBS are crucial for improving patient outcomes.

Purpose of the Study:

  • To investigate the efficacy of peptide hormone administration in a rat model of short bowel syndrome.
  • To evaluate the impact of growth hormone (GH), insulin-like growth factor-1 (IGF-1), and glucagon-like peptide-2 (GLP-2) on weight gain and intestinal function.

Main Methods:

  • A rat model of SBS was created by resecting 90% of the small bowel.
  • Animals received continuous subcutaneous infusions of GH, IGF-1, GLP-2, or vehicle control.
  • Weight gain, active transport, hormone profiles, and intestinal morphology were assessed over 14 days.

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Main Results:

  • All tested peptide hormones (GH, IGF-1, GLP-2) significantly increased weight gain compared to untreated resected controls.
  • IGF-1 treatment led to significant alterations in intestinal morphology.
  • Hormonal treatments resulted in increased glucose transport rates in all treated groups.

Conclusions:

  • GH, IGF-1, and GLP-2 demonstrate potential for improving short-term weight gain following massive bowel resection.
  • The observed benefits may stem from enhanced nutrient absorption, increased intestinal surface area, improved transport activity, or metabolic efficiency.
  • Further research into these peptide hormones as treatments for short bowel syndrome is warranted.