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Irritable bowel Syndrome, food intolerance and non- celiac gluten sensitivity. A new clinical challenge

Soares RLS;
Saad MAN;
Santos MMS;
Souza ACA;
Lessa MA

Rosa Leonôra Salerno Soares

Maria Auxiliadora Nogueira Saad

Marcia Maria Sales dos Santos

Ana Carolina de Azevedo Souza

Matheus de Almeida Lessa


Resumo

Approximately 80% of irritable bowel syndrome (IBS) patients report that their symptoms are triggered after ingesting one or specific food groups. Gluten, wheat and related proteins (e.g., amylase-trypsin inhibitors, and fermentable oligo-di-mono-saccharides and polyols (FODMAPs) are the most relevant IBS symptom triggers, although the true ‘culprit(s)’ is/are still not well established. The concept of causal relationship between gluten intake and the occurrence of symptoms in the absence of celiac disease and wheat allergy was termed non-celiac gluten sensitivity (NCGS). The borderline between celiac disease, wheat allergy, IBS and NCGS is not always clearly distinguishable, and the frequency and clinical identity of NGCS are still unclear. An overlap between IBS and NCGS has been detected. The incomplete knowledge of the etiopathogenesis of these clinical conditions, lack of data on their real epidemiology, as well as the absence of a gold standard for their diagnosis, make the overall picture difficult to understand “It is crucial to well define the interaction between IBS, food intolerance and NGCS, since the role of diet in IBS and its dietary management is an essential tool in the treatment of a large number of these patients”. The objective of the present review is to provide an overview highlighting the interaction between IBS, food intolerance and NCGS in order to unravel whether gluten/wheat/FODMAP sensitivity represents ‘facts’ and not ‘fiction’ in IBS symptoms.

 

DOI:https://doi.org/10.56238/ciênciasaudeestuepesv1-074


Creative Commons License

Este trabalho está licenciado sob uma licença Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Copyright (c) 2023 Rosa Leonôra Salerno Soares, Maria Auxiliadora Nogueira Saad, Marcia Maria Sales dos Santos, Ana Carolina de Azevedo Souza, Matheus de Almeida Lessa

##plugins.themes.gdThemes.article.Authors##

  • Rosa Leonôra Salerno Soares
  • Maria Auxiliadora Nogueira Saad
  • Marcia Maria Sales dos Santos
  • Ana Carolina de Azevedo Souza
  • Matheus de Almeida Lessa