Pacientes con trastorno funcional intestinaleficacia de una dieta baja en FODMAPS para el tratamiento de los síntomas digestivos
- Neus Vila Rovira
- Patricia Ibáñez Solano
- R. Angós
- Mª Teresa Betés Ibáñez
- Cristina Carretero Ribón
- Susana de la Riva
- Maite Herráiz
- C. Prieto de Frías
- Camilo Silva Froján
- María Angeles Margall Coscojuela
ISSN: 0211-6057
Año de publicación: 2016
Volumen: 36
Número: 1
Páginas: 64-74
Tipo: Artículo
Otras publicaciones en: Nutrición clínica y dietética hospitalaria
Resumen
Introduction: Recent studies indicate that the gastrointestinal symptoms presented by patients with functional bowel disorder improve by restricting the intake of short-chain carbohydrates (Fermentable Oligo - saccha rides, Disaccharides and Monosaccharides and Polyols: FODMAPs). Objectives: l. Evaluate the efficacy of a diet low in FODMAPs for the improvement of most gastrointestinal symptoms in patients with functional bowel disorder and patients with organic gastrointestinal disorders. 2. Examine the foods within each group of carbohydrates (fructans, galactans, lactose, excess of fructose and polyols) that the patients can again tolerate, after following a diet of reintroducing foods with FODMAPs. Method: Prospective study of 164 patients consecutive with functional bowel disorder attending the Nutrition Unit of a Spanish university hospital. The symptoms presented were abdominal pain, bloating, wind, diarrhoea and/or constipation. Patients followed for 6-8 weeks a diet low in FODMAPs, analysing in every case the improvement and adherence to the dietary treatment. They subsequently followed a re-introductory diet of nutrients with FODMAPs, evaluating their tolerance to each one of the food items. Results: Eighty-four percent of the patients showed an improvement in the gastrointestinal symptoms with a high level of adherence to the dietary treatment. After performing the reintroduction diet, more than 80% of the patients tolerated again wheat as well as dairy products with lactose and more than 70%, legumes and 2 pieces of low-fructose fruits together. Conclusions: 1.The diet low in FODMAPs is effective in improving the gastrointestinal symptoms of patients with functional bowel disorder. 2. Greater adherence to the diet is associated with a general improvement in the gastrointestinal symptoms. 3. The majority of the patients, after following the re-introductory phase, tolerated again wheat, milk, dairy products with lactose and legumes, as well as a variety of fruits with high FODMAPs content.