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
Hauptverfasser: Santelmann, Heiko, Howard, John McLaren
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container_title European journal of gastroenterology & hepatology
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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.
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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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