肠道微生物群和刺激性肠综合征
1Department of Gastroenterology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Journal of digestive diseases
|July 17, 2023
概括
肠道微生物群的改变在刺激性肠道综合征 (IBS) 的发展中至关重要. 调节肠道微生物组显示出IBS的治疗潜力,但需要进一步的临床验证.
科学领域:
- 胃肠病学 胃肠病学
- 微生物学 微生物学
- 免疫学 免疫学 免疫学
背景情况:
- 刺激性肠综合征 (IBS) 是一种普遍存在的胃肠疾病,病因不明.
- 越来越多的证据将肠道失调与IBS的发展和严重程度联系在一起.
- 以前的研究表明,IBS患者的肠道微生物群发生变化,但其作为诊断标志的作用是不确定的.
研究的目的:
- 审查肠道微生物群在IBS中的变化和作用.
- 讨论用于IBS治疗的肠道微生物群操纵策略.
主要方法:
- 对肠道微生物群和IBS研究的文献综述.
- 分析肠道微生物群对IBS病变发生的影响.
- 讨论微生物群导向的疗法.
主要成果:
- 肠道微生物群通过免疫调节,脑-肠-微生物群轴,以及肠道屏障功能影响IBS.
- 高通量多组组提供了对IBS病原和个性化治疗的见解.
- 微生物群导向疗法显示出有希望的结果,但需要进一步验证.
结论:
- 肠道微生物群的改变是IBS病理生理学的组成部分.
- 微生物群调制对IBS具有显著的治疗潜力.
- 大规模的长期临床试验对于确认治疗疗效至关重要.
相关概念视频
Irritable Bowel Syndrome I: Introduction
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Irritable Bowel Syndrome (IBS) is characterized by functional disturbances in the gastrointestinal system, presenting a cluster of symptoms without evident structural or biochemical abnormalities. It primarily affects the large intestine and may cause abdominal pain, bloating, excessive gas, diarrhea, constipation, or both.
IBS is a chronic condition that can persist over a long period or recur frequently.
The pathogenesis of IBS involves a complex interplay of the following factors:
Altered...
IBS is a chronic condition that can persist over a long period or recur frequently.
The pathogenesis of IBS involves a complex interplay of the following factors:
Altered...
322
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
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Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
195
Chronic Bowel Disorders: Introduction
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Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
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Irritable Bowel Syndrome III: Medical and Nursing Management
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Managing Irritable Bowel Syndrome (IBS) involves a multifaceted approach, including lifestyle modifications, dietary changes, and medication.
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Drugs for Treatment of Diarrhea-Predominant IBS
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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.
Two specific drugs used in the treatment are alosetron (Lotronex) and eluxadoline (Viberzi). Alosetron, a 5-HT3 antagonist, works by slowing the movement of stools in the gut, reducing bowel...
Two specific drugs used in the treatment are alosetron (Lotronex) and eluxadoline (Viberzi). Alosetron, a 5-HT3 antagonist, works by slowing the movement of stools in the gut, reducing bowel...
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Anatomy of the Intestines
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Although digestion of proteins, carbohydrates, and lipids may begin in the stomach, it is completed in the intestine. The absorption of nutrients, water, and electrolytes from food and drink also occurs in the intestine. The intestines can be divided into two structurally distinct organs—the small and large intestines.
Small Intestines
The small intestine is an ~7 meter-long tube with an inner diameter of just 2.5 cm. Since most nutrients are absorbed here, the inner lining of the...
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