أعراض مستمرة من نوع القولون العصبي في مرض الاضطرابات الهضمية رغم اتباع نظام غذائي صارم خالٍ من الغلوتين

References

DOI: 10.1002/ueg2.70195

• In adults with CeD who have persistent GI symptoms despite a strict GFD and confirmed histological healing, low‑FODMAP diet may be considered, provided that other potential causes of symptoms are excluded before starting this additional dietary restriction.
• In patients with persistent IBS‑type symptoms despite strict GFD adherence and confirmed histological healing, a structured low‑fermentable oligo‑, di‑, mono‑saccharides and polyols (low‑FODMAP) diet may reduce bloating, abdominal pain, and altered bowel habits.
• A systematic review and meta‑analysis found that, when implemented for a minimum of 4 weeks, a low‑FODMAP diet was significantly more effective than a standard GFD alone in reducing GI symptoms, particularly bloating, abdominal pain, and altered bowel habits.