医学
失调
肠道菌群
炎症
免疫系统
感觉
溃疡性结肠炎
肠道通透性
肠易激综合征
免疫学
胃肠病学
内科学
疾病
神经科学
生物
作者
Robin C. Spiller,Giles Major
标识
DOI:10.1038/nrgastro.2016.141
摘要
The acute phase of IBD with inflamed gut and often ulcerated mucosa is clearly different from the apparently normal mucosa characteristic of IBS. However, more detailed assessment has detected immune activation, increased gut permeability, increased mucosal serotonin availability, abnormalities of enteric nerve structure and function, and dysbiosis in gut microbiota in IBS - all features seen in IBD. Furthermore, as treatments for inflammation in IBD have become more effective it is now apparent that ∼1 in 3 patients with IBD in remission from inflammation still have persistent abnormalities of sensation, motility and gut microbiota, which might cause IBS-like symptoms. This Perspective explores the overlap between IBS and IBD and their treatments, proposing future directions for research in this stimulating area.
科研通智能强力驱动
Strongly Powered by AbleSci AI