Año 2022 / Volumen 114 / Número 8
Revisión
Abordaje práctico del síndrome de intestino irritable-diarrea más allá de la dieta baja en FODMAP

481-488

DOI: 10.17235/reed.2022.8749/2022

Constanza Ciriza de los Ríos, Marta Aparicio Cabezudo, Ana Zatarain Vallés, Enrique Rey,

Resumen
El síndrome de intestino irritable (SII) es un trastorno funcional gastrointestinal caracterizado por dolor abdominal con alteración de la defecación, frecuentemente acompañado de hinchazón o distensión abdominal. El modelo integral de interacción bidireccional entre el sistema nervioso central, autónomo y entérico, el microbioma y la barrera intestinal permite comprender mejor la fisiopatología del SII y plantear posibles estrategias terapéuticas. El SII con predominio de diarrea (SII-D) es un reto terapéutico. Las modificaciones o restricciones dietéticas son la actuación más frecuentemente utilizada por los pacientes para intentar controlar los síntomas. Por esta razón, diferentes dietas, especialmente la dieta baja en FODMAP, han ganado un interés creciente como terapia del SII-D o mixto. Sin embargo, este tipo de dieta, aunque eficaz, no está exenta de problemas. Por ello es necesario considerar otras opciones terapéuticas teniendo en cuenta los mecanismos fisiopatológicos y el abordaje global de los síntomas.
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Ciriza de los Ríos C, Aparicio Cabezudo M, Zatarain Vallés A, Rey E. Abordaje práctico del síndrome de intestino irritable-diarrea más allá de la dieta baja en FODMAP. 8749/2022


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Recibido: 23/02/2022

Aceptado: 15/03/2022

Prepublicado: 13/06/2022

Publicado: 27/07/2022

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