Low fermentable oligo-, di-, monosaccharides, and polyols (FODMAP) diet as a treatment option in paediatric patients with functional gastrointestinal disorders

Česká verzia

Authors: Šácha Ondřej ¹; Zárubová Kristýna ²
Authors place of work: Dětská klinika, Fakulta zdravotnických studií, Univerzita Jana Evangelisty Purkyně a Masarykova nemocnice Ústí nad Labem ¹; Pediatrická klinika, 2. lékařská fakulta, Univerzita Karlova a FN Motol, Praha ²
Published in the journal: Čes-slov Pediat 2024; 79 (4): 195-199.
Category: Pediatric Protocols in Praxis
doi: https://doi.org/10.55095/CSPediatrie2024/043

Summary

Dietary measures based on the exclusion of fermentable oligo-, di-, monosaccharides, and polyols (low-FODMAP diet) are increasingly being used in treating certain gastrointestinal diseases in children. The following text summarizes essential recommendations for using the low-FODMAP diet, based on the position paper of the European Society for Pediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) issued in September 2022. It includes recommendations on initiation, duration, gradual cessation, monitoring, professional guidance, safety, and risks. Currently, there is limited evidence supporting the use of this diet in children, primarily only for some pediatric patients suffering from functional gastrointestinal disorders (FGID), specifically children with functional abdominal pain (FAP), such as irritable bowel syndrome (IBS) according to the Rome IV criteria from 2016. There is no evidence for the use of the low-FODMAP diet in other gastrointestinal diseases in children, such as constipation, inflammatory bowel disease, celiac disease, non-celiac gluten sensitivity, or small intestinal bacterial overgrowth.

Keywords:

Diet – Irritable bowel syndrome – children – FODMAP – functional abdominal pain

Zdroje

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