Por favor, use este identificador para citar o enlazar a este item: http://hdl.handle.net/10261/201786
COMPARTIR / EXPORTAR:
logo share SHARE logo core CORE BASE
Visualizar otros formatos: MARC | Dublin Core | RDF | ORE | MODS | METS | DIDL | DATACITE

Invitar a revisión por pares abierta
Título

Abdominal distension after eating lettuce: The role of intestinal gas evaluated in vitro and by abdominal CT imaging

AutorBarba, Elisabeth; Sánchez García, Borja CSIC ORCID; Burri, Emanuel; Accarino, Anna; Monclús, Eva; Navazo, Isabel; Guarner, Francisco; Margolles Barros, Abelardo CSIC ORCID; Azpiroz, Fernando
Palabras claveAbdominal distension
Diaphragmatic activity
Functional gut disorders
Intestinal gas
Lettuce
Fecha de publicacióndic-2019
EditorJohn Wiley & Sons
CitaciónNeurogastroenterology and Motility 31(12): e13703 (2019)
Resumen[Background] Some patients complain that eating lettuce, gives them gas and abdominal distention. Our aim was to determine to what extent the patients' assertion is sustained by evidence. [Methods] An in vitro study measured the amount of gas produced during the process of fermentation by a preparation of human colonic microbiota (n = 3) of predigested lettuce, as compared to beans, a high gas-releasing substrate, to meat, a low gas-releasing substrate, and to a nutrient-free negative control. A clinical study in patients complaining of abdominal distention after eating lettuce (n = 12) measured the amount of intestinal gas and the morphometric configuration of the abdominal cavity in abdominal CT scans during an episode of lettuce-induced distension as compared to basal conditions. [Key Results] Gas production by microbiota fermentation of lettuce in vitro was similar to that of meat (P =.44), lower than that of beans (by 78 ± 15%; P <.001) and higher than with the nutrient-free control (by 25 ± 19%; P =.05). Patients complaining of abdominal distension after eating lettuce exhibited an increase in girth (35 ± 3 mm larger than basal; P <.001) without significant increase in colonic gas content (39 ± 4 mL increase; P =.071); abdominal distension was related to a descent of the diaphragm (by 7 ± 3 mm; P =.027) with redistribution of normal abdominal contents. [Conclusion and Inferences] Lettuce is a low gas-releasing substrate for microbiota fermentation and lettuce-induced abdominal distension is produced by an uncoordinated activity of the abdominal walls. Correction of the somatic response might be more effective than the current dietary restriction strategy.
Versión del editorhttp://dx.doi.org/10.1111/nmo.13703
URIhttp://hdl.handle.net/10261/201786
DOI10.1111/nmo.13703
Identificadoresdoi: 10.1111/nmo.13703
e-issn: 1365-2982
issn: 1350-1925
Aparece en las colecciones: (IPLA) Artículos
(IBFG) Artículos




Ficheros en este ítem:
Fichero Descripción Tamaño Formato
Abdominal distension_Barba.pdf829,95 kBAdobe PDFVista previa
Visualizar/Abrir
Mostrar el registro completo

CORE Recommender

PubMed Central
Citations

6
checked on 01-mar-2024

SCOPUSTM   
Citations

6
checked on 16-mar-2024

WEB OF SCIENCETM
Citations

7
checked on 23-feb-2024

Page view(s)

207
checked on 18-mar-2024

Download(s)

144
checked on 18-mar-2024

Google ScholarTM

Check

Altmetric

Altmetric


Artículos relacionados:


NOTA: Los ítems de Digital.CSIC están protegidos por copyright, con todos los derechos reservados, a menos que se indique lo contrario.