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Diet and Nutritional Management in Functional Gastrointestinal Disorder: Functional Dyspepsia
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기능성 위장관질환에 있어서 식이 및 영양요법: 기능성 소화불량

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Type
Academic journal
Author
Journal
The Korean Association Of Internal Medicine 대한내과학회지 대한내과학회지 제90권 제2호 KCI Candidated Journals
Published
2016.1
Pages
98 - 104 (7page)

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Diet and Nutritional Management in Functional Gastrointestinal Disorder: Functional Dyspepsia
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Diet play an important role in triggering symptoms in patients with functional dyspepsia. The pathophysiology of functional dyspepsia is characterized by impaired gastric accommodation and visceral hypersensitivity, and patterns of nutrient intake may affect the threshold to dyspeptic symptoms by modulating gastric motor and sensory functions. In addition, cognitive factors are likely to modulate symptom perception in patients with functional dyspepsia. Duodenal hypersensitivity to fat is regarded as an important mechanism of meal-related dyspeptic symptoms, and is associated with increased visceral hypersensitivity and decreased gastric emptying. Among a wide range of foods, fried and fatty foods are most commonly implicated in the induction of dyspeptic symptoms; however, beans, onions, wheat-containing foods, chocolates, coffee, carbonated beverages, and milk and dairy products are also frequently associated with dyspeptic symptoms. In contrast, according to the recent Asian consensus report, rice, tea, and ginger can ameliorate dyspepsia. However, evidence is lacking, as the majority of studies have been retrospective; moreover, the results are inconsistent. Further prospective studies, especially in the Korean population, are necessary to formulate reliable dietary guidelines for patients with dyspepsia.
#기능성 소화불량 #음식 #고지방 식이 #Functional dyspepsia #Food #Diet #High-fat

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Drossman DA / 2006 / The functional gastrointestinal disorders and the Rome III process / Gastroenterology 130:1377~1390 google schola Miwa H / 2011 / Current understanding of pathogenesis of functional dyspepsia / J Gastroenterol Hepatol 26(Suppl 3):53~60 google schola Rhee PL / 1999 / The etiologic role of gastric hypersensitivity in functional dyspepsia in Korea / J Clin Gastroenterol 29:332~335 google schola Miwa H / 2007 / Generation of dyspeptic symptoms by direct acid infusion into the stomach of healthy Japanese subjects / Aliment Pharmacol Ther 26:257~264 google schola Gwee KA / 2008 / In-practice predictors of response to proton pump inhibitor therapy in primary care patients with dyspepsia in an Asian population / J Clin Gastroenterol 42:134~138 google schola

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