食物不耐受:刺激性肠综合征的病原发生的一个主要因素
Lancet (London, England)
|November 20, 1982
概括
在许多患者中,特定的食物会引发刺激性肠综合征 (IBS) 症状. 这项研究证实IBS患者的食物不耐受与直肠前列腺素E2 (PGE2) 生产增加有关.
科学领域:
- 胃肠病学 胃肠病学
- 临床营养学 临床营养学
- 免疫学 免疫学 免疫学
背景情况:
- 刺激性肠综合征 (IBS) 是一种常见的胃肠疾病.
- 确定IBS症状的特定食物触发因素仍然是一个临床挑战.
研究的目的:
- 调查特定食物不耐受性在IBS病变发生过程中的作用.
- 探索与食物引起的IBS症状相关的潜在生物标志物.
主要方法:
- 21名IBS患者接受了食物挑战测试.
- 双盲,安慰剂控制的食物挑战在一组患者中进行.
- 测量包括血葡萄糖,胰岛素,免疫复合体,血红素,乙素计数,呼吸,以及直肠前列腺素E2 (PGE2).
主要成果:
- 在21名患者中有14名患者中,特定的食物引起了IBS症状.
- 6名患者通过双盲挑战证实了食物不耐受性.
- 没有观察到血葡萄糖,胰岛素,免疫复合体,血红素,乙氨基酸计数或呼吸的显著变化.
- 在食物挑战后,直肠PGE2水平显著增加.
- 在5名患者中,直肠PGE2与湿便体重相关.
结论:
- 食物不耐受是IBS症状产生的一个重要因素.
- 增加的直肠前列腺素E2 (PGE2) 生产与IBS的食物不耐受有关.
- PGE2可能在IBS的病理生理学中发挥作用,可能影响肠道习惯.
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