Complementary and alternative treatment in functional dyspepsia

被引:63
作者
Chiarioni, Giuseppe [1 ,2 ,3 ]
Pesce, Marcella [4 ]
Fantin, Alberto [5 ]
Sarnelli, Giovanni [4 ]
机构
[1] Univ Verona, Azienda Osped Univ Integrata Verona, Div Gastroenterol, Verona, Italy
[2] Univ North Carolina Chapel Hill, Div Gastroenterol & Hepatol, Chapel Hill, NC USA
[3] Univ North Carolina Chapel Hill, UNC Ctr Funct GI & Motil Disorders, Chapel Hill, NC USA
[4] Federico II Univ Naples, Dept Clin Med & Surg, Naples, Italy
[5] Univ Padua, Azienda Osped Padova, Div Gastroenterol, Padua, Italy
关键词
Functional dyspepsia; hypnosis; herbal supplements; acupuncture; complementary treatment; RANDOMIZED CLINICAL-TRIAL; ARTICHOKE LEAF EXTRACT; PEPPERMINT OIL; GASTROINTESTINAL DISORDERS; DOUBLE-BLIND; NONULCER DYSPEPSIA; HERBAL PREPARATION; PREPARATION STW-5; MEDICINE USE; CARAWAY OIL;
D O I
10.1177/2050640617724061
中图分类号
R57 [消化系及腹部疾病];
学科分类号
100201 [内科学];
摘要
Introduction and aim: The popularity of complementary and alternative medicine (CAM) in treating functional gastrointestinal disorders (FGIDs) has steadily increased in Western countries. We aimed at analyzing available data on CAM effectiveness in functional dyspepsia (FD) patients. Methods: A bibliographical search was performed in PubMed using the following keywords: "complementary/alternative medicine," "hypnosis," "acupuncture" and/or "functional dyspepsia." Results: In community settings, almost 50% of patients with FGIDs used CAM therapies. Herbal remedies consist of multi-component preparations, whose mechanisms of action have not been systematically clarified. Few studies analyzed the effectiveness of acupuncture in Western countries, yielding conflicting results and possibly reflecting a population bias of this treatment. Hypnosis has been extensively used in irritable bowel syndrome, but few data support its role in treating FD. Conclusions: Although some supporting well-designed studies have been recently performed, additional randomized, controlled trials are needed before stating any recommendation on CAM effectiveness in treating FD.
引用
收藏
页码:5 / 12
页数:8
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