Fermentable oligosaccharides, disaccharides, monosaccharides and polyols

Role in irritable bowel syndrome

Caroline J. Tuck, Jane G. Muir, Jacqueline S. Barrett, Peter R. Gibson

Research output: Contribution to journalReview ArticleResearchpeer-review

72 Citations (Scopus)

Abstract

Irritable bowel syndrome (IBS) was previously left poorly treated despite its high prevalence and cost. Over the past decade, significant research has been conducted providing new dietary strategies for IBS management. The 'low fermentable oligosaccharides, disaccharides, monosaccharides and polyols diet' has shown symptom improvement in 68-76% of patients. Randomized, controlled trials have now proven its efficacy. The diet, low in poorly absorbed and fermentable carbohydrates, uses dietary restriction and re-challenge to determine individual tolerance to various short-chain carbohydrates. However there may be potential detrimental effects of the diet in the long term, due to potential changes to the gastrointestinal microbiota. Appropriate dietary education and management of the diet is imperative. Future research should focus on the relevance of changes to the microbiota and ways to liberalize the dietary restrictions.

Original languageEnglish
Pages (from-to)819-834
Number of pages16
JournalExpert Review of Gastroenterology & Hepatology
Volume8
Issue number7
DOIs
Publication statusPublished - 2014

Keywords

  • abdominal pain
  • carbohydrates
  • diet therapy
  • FODMAP
  • gastrointestinal diseases
  • irritable bowel syndrome

Cite this

@article{e1d4dbf1a73749bda1aa227fa9868336,
title = "Fermentable oligosaccharides, disaccharides, monosaccharides and polyols: Role in irritable bowel syndrome",
abstract = "Irritable bowel syndrome (IBS) was previously left poorly treated despite its high prevalence and cost. Over the past decade, significant research has been conducted providing new dietary strategies for IBS management. The 'low fermentable oligosaccharides, disaccharides, monosaccharides and polyols diet' has shown symptom improvement in 68-76{\%} of patients. Randomized, controlled trials have now proven its efficacy. The diet, low in poorly absorbed and fermentable carbohydrates, uses dietary restriction and re-challenge to determine individual tolerance to various short-chain carbohydrates. However there may be potential detrimental effects of the diet in the long term, due to potential changes to the gastrointestinal microbiota. Appropriate dietary education and management of the diet is imperative. Future research should focus on the relevance of changes to the microbiota and ways to liberalize the dietary restrictions.",
keywords = "abdominal pain, carbohydrates, diet therapy, FODMAP, gastrointestinal diseases, irritable bowel syndrome",
author = "Tuck, {Caroline J.} and Muir, {Jane G.} and Barrett, {Jacqueline S.} and Gibson, {Peter R.}",
year = "2014",
doi = "10.1586/17474124.2014.917956",
language = "English",
volume = "8",
pages = "819--834",
journal = "Expert Review of Gastroenterology & Hepatology",
issn = "1747-4124",
publisher = "Taylor & Francis",
number = "7",

}

Fermentable oligosaccharides, disaccharides, monosaccharides and polyols : Role in irritable bowel syndrome. / Tuck, Caroline J.; Muir, Jane G.; Barrett, Jacqueline S.; Gibson, Peter R.

In: Expert Review of Gastroenterology & Hepatology, Vol. 8, No. 7, 2014, p. 819-834.

Research output: Contribution to journalReview ArticleResearchpeer-review

TY - JOUR

T1 - Fermentable oligosaccharides, disaccharides, monosaccharides and polyols

T2 - Role in irritable bowel syndrome

AU - Tuck, Caroline J.

AU - Muir, Jane G.

AU - Barrett, Jacqueline S.

AU - Gibson, Peter R.

PY - 2014

Y1 - 2014

N2 - Irritable bowel syndrome (IBS) was previously left poorly treated despite its high prevalence and cost. Over the past decade, significant research has been conducted providing new dietary strategies for IBS management. The 'low fermentable oligosaccharides, disaccharides, monosaccharides and polyols diet' has shown symptom improvement in 68-76% of patients. Randomized, controlled trials have now proven its efficacy. The diet, low in poorly absorbed and fermentable carbohydrates, uses dietary restriction and re-challenge to determine individual tolerance to various short-chain carbohydrates. However there may be potential detrimental effects of the diet in the long term, due to potential changes to the gastrointestinal microbiota. Appropriate dietary education and management of the diet is imperative. Future research should focus on the relevance of changes to the microbiota and ways to liberalize the dietary restrictions.

AB - Irritable bowel syndrome (IBS) was previously left poorly treated despite its high prevalence and cost. Over the past decade, significant research has been conducted providing new dietary strategies for IBS management. The 'low fermentable oligosaccharides, disaccharides, monosaccharides and polyols diet' has shown symptom improvement in 68-76% of patients. Randomized, controlled trials have now proven its efficacy. The diet, low in poorly absorbed and fermentable carbohydrates, uses dietary restriction and re-challenge to determine individual tolerance to various short-chain carbohydrates. However there may be potential detrimental effects of the diet in the long term, due to potential changes to the gastrointestinal microbiota. Appropriate dietary education and management of the diet is imperative. Future research should focus on the relevance of changes to the microbiota and ways to liberalize the dietary restrictions.

KW - abdominal pain

KW - carbohydrates

KW - diet therapy

KW - FODMAP

KW - gastrointestinal diseases

KW - irritable bowel syndrome

UR - http://www.scopus.com/inward/record.url?scp=84906347797&partnerID=8YFLogxK

U2 - 10.1586/17474124.2014.917956

DO - 10.1586/17474124.2014.917956

M3 - Review Article

VL - 8

SP - 819

EP - 834

JO - Expert Review of Gastroenterology & Hepatology

JF - Expert Review of Gastroenterology & Hepatology

SN - 1747-4124

IS - 7

ER -