Systematic review: Complementary and alternative medicine in the irritable bowel syndrome.

Hdl Handle:
http://hdl.handle.net/10147/208871
Title:
Systematic review: Complementary and alternative medicine in the irritable bowel syndrome.
Authors:
Hussain, Z; Quigley, E M M
Affiliation:
Department of Medicine, Alimentary Pharmabiotic Centre, Cork University Hospital,, Cork, Ireland.
Citation:
Aliment Pharmacol Ther. 2006 Feb 15;23(4):465-71.
Journal:
Alimentary pharmacology & therapeutics
Issue Date:
3-Feb-2012
URI:
http://hdl.handle.net/10147/208871
DOI:
10.1111/j.1365-2036.2006.02776.x
PubMed ID:
16441466
Abstract:
BACKGROUND: Complementary and alternative medical therapies and practices are widely employed in the treatment of the irritable bowel syndrome. AIM: To review the usage of complementary and alternative medicine in the irritable bowel syndrome, and to assess critically the basis and evidence for its use. METHODS: A systematic review of complementary and alternative medical therapies and practices in the irritable bowel syndrome was performed based on literature obtained through a Medline search. RESULTS: A wide variety of complementary and alternative medical practices and therapies are commonly employed by irritable bowel syndrome patients both in conjunction with and in lieu of conventional therapies. As many of these therapies have not been subjected to controlled clinical trials, some, at least, of their efficacy may reflect the high-placebo response rate that is characteristic of irritable bowel syndrome. Of those that have been subjected to clinical trials most have involved small poor quality studies. There is, however, evidence to support efficacy for hypnotherapy, some forms of herbal therapy and certain probiotics in irritable bowel syndrome. CONCLUSIONS: Doctors caring for irritable bowel syndrome patients need to recognize the near ubiquity of complementary and alternative medical use among this population and the basis for its use. All complementary and alternative medicine is not the same and some, such as hypnotherapy, forms of herbal therapy, specific diets and probiotics, may well have efficacy in irritable bowel syndrome. Above all, we need more science and more controlled studies; the absence of truly randomized placebo-controlled trials for many of these therapies has limited meaningful progress in this area.
Language:
eng
MeSH:
Acupuncture Therapy/methods; Complementary Therapies/*methods; Drugs, Chinese Herbal/therapeutic use; Humans; Immunoglobulins/therapeutic use; Irritable Bowel Syndrome/*therapy; Mind-Body Therapies; Musculoskeletal Manipulations/methods; Phytotherapy/methods; Probiotics/therapeutic use; Randomized Controlled Trials as Topic; Research Design
ISSN:
0269-2813 (Print); 0269-2813 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorHussain, Zen_GB
dc.contributor.authorQuigley, E M Men_GB
dc.date.accessioned2012-02-03T15:06:02Z-
dc.date.available2012-02-03T15:06:02Z-
dc.date.issued2012-02-03T15:06:02Z-
dc.identifier.citationAliment Pharmacol Ther. 2006 Feb 15;23(4):465-71.en_GB
dc.identifier.issn0269-2813 (Print)en_GB
dc.identifier.issn0269-2813 (Linking)en_GB
dc.identifier.pmid16441466en_GB
dc.identifier.doi10.1111/j.1365-2036.2006.02776.xen_GB
dc.identifier.urihttp://hdl.handle.net/10147/208871-
dc.description.abstractBACKGROUND: Complementary and alternative medical therapies and practices are widely employed in the treatment of the irritable bowel syndrome. AIM: To review the usage of complementary and alternative medicine in the irritable bowel syndrome, and to assess critically the basis and evidence for its use. METHODS: A systematic review of complementary and alternative medical therapies and practices in the irritable bowel syndrome was performed based on literature obtained through a Medline search. RESULTS: A wide variety of complementary and alternative medical practices and therapies are commonly employed by irritable bowel syndrome patients both in conjunction with and in lieu of conventional therapies. As many of these therapies have not been subjected to controlled clinical trials, some, at least, of their efficacy may reflect the high-placebo response rate that is characteristic of irritable bowel syndrome. Of those that have been subjected to clinical trials most have involved small poor quality studies. There is, however, evidence to support efficacy for hypnotherapy, some forms of herbal therapy and certain probiotics in irritable bowel syndrome. CONCLUSIONS: Doctors caring for irritable bowel syndrome patients need to recognize the near ubiquity of complementary and alternative medical use among this population and the basis for its use. All complementary and alternative medicine is not the same and some, such as hypnotherapy, forms of herbal therapy, specific diets and probiotics, may well have efficacy in irritable bowel syndrome. Above all, we need more science and more controlled studies; the absence of truly randomized placebo-controlled trials for many of these therapies has limited meaningful progress in this area.en_GB
dc.language.isoengen_GB
dc.subject.meshAcupuncture Therapy/methodsen_GB
dc.subject.meshComplementary Therapies/*methodsen_GB
dc.subject.meshDrugs, Chinese Herbal/therapeutic useen_GB
dc.subject.meshHumansen_GB
dc.subject.meshImmunoglobulins/therapeutic useen_GB
dc.subject.meshIrritable Bowel Syndrome/*therapyen_GB
dc.subject.meshMind-Body Therapiesen_GB
dc.subject.meshMusculoskeletal Manipulations/methodsen_GB
dc.subject.meshPhytotherapy/methodsen_GB
dc.subject.meshProbiotics/therapeutic useen_GB
dc.subject.meshRandomized Controlled Trials as Topicen_GB
dc.subject.meshResearch Designen_GB
dc.titleSystematic review: Complementary and alternative medicine in the irritable bowel syndrome.en_GB
dc.contributor.departmentDepartment of Medicine, Alimentary Pharmabiotic Centre, Cork University Hospital,, Cork, Ireland.en_GB
dc.identifier.journalAlimentary pharmacology & therapeuticsen_GB
dc.description.provinceMunster-
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