Yeast metabolic products, yeast antigens and yeasts as possible triggers for irritable bowel syndrome
Many patients with irritable bowel syndrome (IBS) are disillusioned by the lack of efficacy of treatments and suffer from numerous symptoms not covered by the Rome criteria for IBS, as the current empirical treatment regimens fail to address these persistent debilitating ‘IBS associated symptoms’. T...
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Veröffentlicht in: | European journal of gastroenterology & hepatology 2005-01, Vol.17 (1), p.21-26 |
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creator | Santelmann, Heiko Howard, John McLaren |
description | Many patients with irritable bowel syndrome (IBS) are disillusioned by the lack of efficacy of treatments and suffer from numerous symptoms not covered by the Rome criteria for IBS, as the current empirical treatment regimens fail to address these persistent debilitating ‘IBS associated symptoms’. These symptoms are similar to other symptom complexes like chronic fatigue and the so-called ‘candida syndrome’, and many seek help from alternative medicine. The possible role of Candida and yeasts in non-immune compromised individuals is disputed and is the subject of this review. Even if the involvement of yeasts in the aetiology of IBS still remains unclear, there is increasing evidence for yeasts being able to cause IBS-symptoms in sensitized patients via Candida products, antigens and cross-antigens. But more research is needed before antifungal treatment can be recommended as a first line treatment for IBS. |
doi_str_mv | 10.1097/00042737-200501000-00005 |
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These symptoms are similar to other symptom complexes like chronic fatigue and the so-called ‘candida syndrome’, and many seek help from alternative medicine. The possible role of Candida and yeasts in non-immune compromised individuals is disputed and is the subject of this review. Even if the involvement of yeasts in the aetiology of IBS still remains unclear, there is increasing evidence for yeasts being able to cause IBS-symptoms in sensitized patients via Candida products, antigens and cross-antigens. 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These symptoms are similar to other symptom complexes like chronic fatigue and the so-called ‘candida syndrome’, and many seek help from alternative medicine. The possible role of Candida and yeasts in non-immune compromised individuals is disputed and is the subject of this review. Even if the involvement of yeasts in the aetiology of IBS still remains unclear, there is increasing evidence for yeasts being able to cause IBS-symptoms in sensitized patients via Candida products, antigens and cross-antigens. But more research is needed before antifungal treatment can be recommended as a first line treatment for IBS.</description><subject>Antigens, Fungal - immunology</subject><subject>Biological and medical sciences</subject><subject>Candida - metabolism</subject><subject>Candidiasis - complications</subject><subject>Candidiasis - diagnosis</subject><subject>Candidiasis - therapy</subject><subject>Diet</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Humans</subject><subject>Intestines - microbiology</subject><subject>Irritable Bowel Syndrome - immunology</subject><subject>Irritable Bowel Syndrome - microbiology</subject><subject>Medical sciences</subject><subject>Other diseases. Semiology</subject><subject>Stomach. Duodenum. Small intestine. Colon. Rectum. 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Liver. Pancreas. Abdomen</topic><topic>Humans</topic><topic>Intestines - microbiology</topic><topic>Irritable Bowel Syndrome - immunology</topic><topic>Irritable Bowel Syndrome - microbiology</topic><topic>Medical sciences</topic><topic>Other diseases. Semiology</topic><topic>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Santelmann, Heiko</creatorcontrib><creatorcontrib>Howard, John McLaren</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of gastroenterology & hepatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Santelmann, Heiko</au><au>Howard, John McLaren</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Yeast metabolic products, yeast antigens and yeasts as possible triggers for irritable bowel syndrome</atitle><jtitle>European journal of gastroenterology & hepatology</jtitle><addtitle>Eur J Gastroenterol Hepatol</addtitle><date>2005-01</date><risdate>2005</risdate><volume>17</volume><issue>1</issue><spage>21</spage><epage>26</epage><pages>21-26</pages><issn>0954-691X</issn><eissn>1473-5687</eissn><abstract>Many patients with irritable bowel syndrome (IBS) are disillusioned by the lack of efficacy of treatments and suffer from numerous symptoms not covered by the Rome criteria for IBS, as the current empirical treatment regimens fail to address these persistent debilitating ‘IBS associated symptoms’. These symptoms are similar to other symptom complexes like chronic fatigue and the so-called ‘candida syndrome’, and many seek help from alternative medicine. The possible role of Candida and yeasts in non-immune compromised individuals is disputed and is the subject of this review. Even if the involvement of yeasts in the aetiology of IBS still remains unclear, there is increasing evidence for yeasts being able to cause IBS-symptoms in sensitized patients via Candida products, antigens and cross-antigens. But more research is needed before antifungal treatment can be recommended as a first line treatment for IBS.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins, Inc</pub><pmid>15647635</pmid><doi>10.1097/00042737-200501000-00005</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Antigens, Fungal - immunology Biological and medical sciences Candida - metabolism Candidiasis - complications Candidiasis - diagnosis Candidiasis - therapy Diet Gastroenterology. Liver. Pancreas. Abdomen Humans Intestines - microbiology Irritable Bowel Syndrome - immunology Irritable Bowel Syndrome - microbiology Medical sciences Other diseases. Semiology Stomach. Duodenum. Small intestine. Colon. Rectum. Anus |
title | Yeast metabolic products, yeast antigens and yeasts as possible triggers for irritable bowel syndrome |
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