Constipation: a neglected condition in older emergency department patients DOI
Fabio Salvi, Roberta Petrino, Simon Conroy

et al.

Internal and Emergency Medicine, Journal Year: 2024, Volume and Issue: 19(7), P. 1977 - 1986

Published: July 31, 2024

Language: Английский

Revisiting the Intestinal Microbiome and Its Role in Diarrhea and Constipation DOI Creative Commons
Mihaela Adela Iancu, Monica Profir,

Oana Alexandra Roşu

et al.

Microorganisms, Journal Year: 2023, Volume and Issue: 11(9), P. 2177 - 2177

Published: Aug. 29, 2023

The gut microbiota represents a community of microorganisms (bacteria, fungi, archaea, viruses, and protozoa) that colonize the are responsible for mucosal structural integrity immune metabolic homeostasis. relationship between microbiome human health has been intensively researched in past years. It is now widely recognized microbial composition highly general host. Among diseases have linked to an altered population diarrheal illnesses functional constipation. capacity probiotics modulate population, strengthen intestinal barrier, system together with their antioxidant properties encouraged research probiotic therapy many gastrointestinal afflictions. Dietary lifestyle changes use seem play important role easing constipation effectively alleviating diarrhea by suppressing germs involved. This review aims describe how bacteria specific strains could interfere bring benefits as associated treatment

Language: Английский

Citations

31

Nutrition Assessment and Management in Celiac Disease DOI
María Inés Pinto-Sánchez,

Jedid-Jah Blom,

Peter R. Gibson

et al.

Gastroenterology, Journal Year: 2024, Volume and Issue: unknown

Published: April 1, 2024

Language: Английский

Citations

15

Idiopathic Slow Transit Constipation: Pathophysiology, Diagnosis, and Management DOI Creative Commons
Luke Vlismas, William Ka Kei Wu, Vincent Ho

et al.

Medicina, Journal Year: 2024, Volume and Issue: 60(1), P. 108 - 108

Published: Jan. 6, 2024

Slow transit constipation (STC) has an estimated prevalence of 2–4% the general population, and although it is least prevalent chronic phenotypes, more commonly causes refractory symptoms associated with significant psychosocial stress, poor quality life, high healthcare costs. This review provides overview pathophysiology, diagnosis, management options in STC. STC occurs due to colonic dysmotility thought be a neuromuscular disorder colon. Several pathophysiologic features have been observed STC, including reduced contractions on manometry, delayed emptying studies, numbers interstitial cells Cajal histology, amounts excitatory neurotransmitters within myenteric plexuses. The underlying aetiology uncertain, but autoimmune hormonal mechanisms hypothesised. Diagnosing may challenging, there substantial overlap other clinical phenotypes. Prior making diagnosis primary phenotypes secondary need ruled out. An assessment time required for can performed by number different methods. There are several constipation, lifestyle, dietary, pharmacologic, interventional, surgical. effectiveness available therapies differs from that prokinetics often make up mainstay those who fail standard laxatives. few patients medically respond well surgical intervention. common condition burden disease. It present challenge, structured approach great value clinician. many therapeutic available, some having benefits than others.

Language: Английский

Citations

10

Extraction methods, structural features and bioactivity diversity of polysaccharides from the genus Chrysanthemum: A review DOI
Peiling Yu,

Yue Zhou,

Jia Liu

et al.

International Journal of Biological Macromolecules, Journal Year: 2025, Volume and Issue: unknown, P. 139423 - 139423

Published: Jan. 1, 2025

Language: Английский

Citations

1

A novel ultra-sensitive LC-MS/MS method for determination of elobixibat in human plasma; Application to a bioequivalence study on healthy volunteers DOI
Mamdouh R. Rezk,

Moetaza Soliman,

Huda Shawky

et al.

Journal of Chromatography B, Journal Year: 2025, Volume and Issue: unknown, P. 124576 - 124576

Published: March 1, 2025

Language: Английский

Citations

1

Gastrointestinal side effects of somatostatin analogs in neuroendocrine tumors: a focused review DOI Creative Commons
Matteo Marasco,

Elisabetta Dell'Unto,

Alessandro Laviano

et al.

Journal of Gastroenterology and Hepatology, Journal Year: 2024, Volume and Issue: 39(9), P. 1737 - 1744

Published: May 23, 2024

Abstract Neuroendocrine tumors (NETs) are a group of well‐differentiated heterogeneous neoplasms characterized by slow progression and distinct clinical biological behavior. In the majority patients with NET, first‐line treatment is represented somatostatin analogs (SSAs) that, despite being drugs high tolerability (even at doses) providing to carcinoid symptoms control anti‐proliferative effects, may present some side potential impact on quality life nutritional status. The most frequent effects gastrointestinal events in particular alterations bowel habits (diarrhea constipation), abdominal pain, exocrine pancreatic insufficiency, cholelithiasis. Considering relative rarity NETs, literature about frequency standard management adverse SSA‐related still lacking heterogeneous. aim this review arm gastroenterologists other physicians treating NET essential knowledge SSAs. By identifying managing these early, healthcare professionals can offer optimal care, avert foreseeable complications, ensure best outcomes for patients. Without such early recognition, there risk diminishing patient's their ability sustain over time.

Language: Английский

Citations

5

Review article: do stimulant laxatives damage the gut? A critical analysis of current knowledge DOI Creative Commons
Peter J. Whorwell, Robert Lange, Carmelo Scarpignato

et al.

Therapeutic Advances in Gastroenterology, Journal Year: 2024, Volume and Issue: 17

Published: Jan. 1, 2024

Stimulant laxatives are well established as first- or second-line treatments for constipation and although they have a reliable therapeutic effect, alleged safety concerns still exist, particularly with long-term use. The potential harmful effects on the gastrointestinal system (including carcinogenicity) of use diphenylmethane [bisacodyl, sodium picosulfate (SPS)] senna stimulant were assessed in comprehensive review publications identified literature searches performed PubMed Embase up to including June 2023. We reviewed 43 interest. While at supratherapeutic doses been shown cause structural alterations surface absorptive cells animals humans, these reversible not considered clinically relevant. No formal studies demonstrated morphological changes enteric neural elements intestinal smooth muscle bisacodyl SPS humans. Furthermore, there is no convincing evidence that associated development colon cancer, fact, chronic itself has reported potentially increase risk therefore, might reduce this risk. Many suggesting possible effect from limited by their failure consider confounding factors such concomitant neurological disease, metabolic disorders, age. These findings highlight lack colon, thus, benefits treatment laxatives, even long-term, should be reconsidered management patients constipation.

Language: Английский

Citations

5

Relationship of Age and Gender to Motility Test Results and Symptoms in Patients with Chronic Constipation DOI
George Triadafilopoulos, Jerry D. Gardner

Digestive Diseases and Sciences, Journal Year: 2024, Volume and Issue: 69(4), P. 1302 - 1317

Published: March 2, 2024

Language: Английский

Citations

4

Intestinal permeability in disorders of gut-brain interaction (DGBI): From bench to bedside DOI Creative Commons
Madhusudan Grover, Tim Vanuytsel, Lin Chang

et al.

Gastroenterology, Journal Year: 2024, Volume and Issue: unknown

Published: Sept. 1, 2024

Intestinal barrier function lies at a critical interface of range peripheral and central processes that influence disorders gut-brain interactions (DGBI). Although rigorously tested, the role dysfunction in driving clinical phenotype DGBI remains to be fully elucidated. In vitro, vivo, ex vivo strategies can test various aspects broader permeability mechanisms gut. Luminal mediators host, bacterial, dietary origin disrupted also luminal milieu. Critical our understanding is how influenced by stress other comorbidities associate with crosstalk between neural, hormonal, immune responses. Additionally, microbiome's significant communication brain gut has led integrative model microbiome axis reciprocal networks composed multiple cells gut, including cells, enterochromaffin microbiota derived mediators. This review highlights techniques for assessment function, appraises evidence mechanistic studies humans, as well provides an overview therapeutic used directly or indirectly restore patients.

Language: Английский

Citations

4

Toxicity and Safety Aspects of Inulin DOI
Sanjay Gupta, Astha Verma

Published: Jan. 1, 2025

Language: Английский

Citations

0