Comparison of the therapeutic effect of wheat bran, mebeverine and placebo in patients with the irritable bowel syndrome.

Abstract:

:There is no generally accepted treatment in the irritable bowel syndrome (IBS), probably because of a lack of convincing therapeutic trials. In the present study, 120 outpatients with IBS participated in a prospective randomized therapeutic trial. According to a double-blind design, 40 patients received 400 mg/day mebeverine and 40 patients received a placebo. In an open branch of the trial, 40 patients were treated with 15 g/day wheat bran. The effects of treatment on symptoms were noted after 4, 8, 12 and 16 weeks of therapy. A significantly superior symptomatic effect of bran in comparison to mebeverine and placebo was demonstrated after 12 weeks, but could not be confirmed at the end of the study. There was no significant difference between the symptomatic effect of mebeverine and placebo. The compliance with the therapy was about 80% for 4 weeks, but dropped to about 50% at the end of the trial. This points to a particular difficulty in the management of patients with IBS. The results of this trial suggest that bran and mebeverine are no ideal therapy for patients with IBS but they support the therapeutic use of bran in patients with IBS.

journal_name

Digestion

journal_title

Digestion

authors

Kruis W,Weinzierl M,Schüssler P,Holl J

doi

10.1159/000199329

subject

Has Abstract

pub_date

1986-01-01 00:00:00

pages

196-201

issue

3

eissn

0012-2823

issn

1421-9867

journal_volume

34

pub_type

临床试验,杂志文章,随机对照试验
  • Edkins and a century of acid suppression.

    abstract::In 1905, John Edkins (1863-1940) undertook the studies of gastrin that have subsequently formed the basis for a century of investigation into the physiological basis of acid secretion and led to the elucidation of a variety of acid-suppressive pharmacological agents that have revolutionized the management of acid pept...

    journal_title:Digestion

    pub_type: 传,历史文章,杂志文章

    doi:10.1159/000088368

    authors: Modlin IM,Sachs G,Wright N,Kidd M

    更新日期:2005-01-01 00:00:00

  • Role of circulating gastrin in colorectal adenomas and carcinomas.

    abstract:BACKGROUND/AIMS:A trophic role of gastrin has been convincingly demonstrated in the oxyntic mucosa of the stomach, but is still a matter of debate in the lower gastrointestinal tract. METHODS:In order to examine the role of circulating gastrin in colorectal adenoma and carcinoma fasting serum gastrin concentrations we...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000007634

    authors: Lamberts R,Wartenberg T,Creutzfeldt W

    更新日期:1999-03-01 00:00:00

  • Role of alimentation in irritable bowel syndrome.

    abstract:BACKGROUND:Different food items are made responsible for irritable bowel syndrome (IBS) symptoms, but the physiopathology of IBS remains unclear. AIMS:During a meeting in Nice, France, experts of the European Working Team of the IBiS Club discussed selected data regarding the relationships between alimentation, food i...

    journal_title:Digestion

    pub_type: 杂志文章,评审

    doi:10.1159/000072061

    authors: Dapoigny M,Stockbrügger RW,Azpiroz F,Collins S,Coremans G,Müller-Lissner S,Oberndorff A,Pace F,Smout A,Vatn M,Whorwell P

    更新日期:2003-01-01 00:00:00

  • Platelet-activating factor acetylhydrolase activity in intestinal mucosa and plasma of patients with Crohn's disease.

    abstract::The activity of platelet-activating factor (PAF) acetylhydrolase in biopsy specimens of intestinal mucosa was compared in patients with Crohn's disease (n = 11) and controls (n = 6). In addition, PAF acetylhydrolase activity was determined in the plasma of Crohn patients (n = 30) and healthy subjects (n = 35). The act...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000201376

    authors: Kald B,Smedh K,Olaison G,Sjödahl R,Tagesson C

    更新日期:1996-11-01 00:00:00

  • OctreoTher: ongoing early clinical development of a somatostatin-receptor-targeted radionuclide antineoplastic therapy.

    abstract::OctreoTher ((90)Y-DOTA-D-Phe(1)-Tyr(3)-octreotide, a.k.a. (90)Y-SMT 487) consists of a somatostatin peptide analogue (Tyr(3)-octreotide), coupled with a complexing moiety (DOTA), and labeled with a tightly bound beta-emitter (yttrium-90). By targeting somatostatin receptor-positive tumors (as imaged by OctreaScan it m...

    journal_title:Digestion

    pub_type: 杂志文章,评审

    doi:10.1159/000051858

    authors: Smith MC,Liu J,Chen T,Schran H,Yeh CM,Jamar F,Valkema R,Bakker W,Kvols L,Krenning E,Pauwels S

    更新日期:2000-01-01 00:00:00

  • Evaluation of faecal occult blood test and lactoferrin latex agglutination test in screening hospitalized patients for diagnosing inflammatory and non-inflammatory diarrhoea in Dhaka, Bangladesh.

    abstract:BACKGROUND:Inflammatory diarrhoea (ID) resulting from Shigella, Salmonella, Campylobacter and Entamoeba histolytica requires specific diagnosis for therapy. Differentiation between ID and non-inflammatory diarrhoea (NID) is often not clinically possible. A faecal occult blood test (FOBT) correlates with faecal leucocyt...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000113042

    authors: Ashraf H,Beltinger J,Alam NH,Bardhan PK,Faruque AS,Akter J,Salam MA,Gyr N

    更新日期:2007-01-01 00:00:00

  • Gastric cancer development after Helicobacter pylori eradication therapy: a new form of gastric neoplasia.

    abstract:BACKGROUND AND AIM:Along with the widespread use of eradication for Helicobacter pylori (H. pylori), the incidence of gastric cancer after eradication has also been increasing. There is a need for clarification of the clinical and biological characteristics of these neoplasms. PATIENTS AND METHODS:We studied 27 cases ...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000335260

    authors: Matsuo T,Ito M,Tatsugami M,Boda T,Takata S,Tanaka S,Chayama K

    更新日期:2012-01-01 00:00:00

  • Severe and steroid-resistant Crohn's disease.

    abstract::Patients with moderate-to-severe disease and patients with steroid-refractory or steroid-dependent disease differ in their management, as the latter two groups usually involve patients whose condition is less acute. Systemic corticosteroids represent the mainstay of the management of moderate-to-severe disease and rem...

    journal_title:Digestion

    pub_type: 杂志文章,评审

    doi:10.1159/000111023

    authors: Michetti P,Mottet C,Juillerat P,Pittet V,Felley C,Vader JP,Gonvers JJ,Froehlich F

    更新日期:2007-01-01 00:00:00

  • One-to-One Correspondence Locations of Resected Polyps after Endoscopic Resection Using Catcher Tagged Method: A Randomized Prospective Study.

    abstract:BACKGROUND/AIMS:Multiple colorectal polyps with a diameter in the range of 10-19 mm are unable to be retrieved through a 3-mm endoscopic channel by the aspiration method. This study aims to assess the usefulness of Catcher Tag retrieval, which not only allows the accurate identification of the resected location but als...

    journal_title:Digestion

    pub_type: 杂志文章,随机对照试验

    doi:10.1159/000484043

    authors: Mori H,Kobara H,Kobayashi N,Nishiyama N,Kobayashi S,Yagi T,Masaki T

    更新日期:2017-11-01 00:00:00

  • Ratio of urinary 6beta-hydroxycortisol to 17-hydroxycorticosteroids in patients with liver disease.

    abstract::The ratio of 6beta-hydroxycortisol to 17-hydroxycorticosteroids in the urine of 73 patients with liver disease, and 53 controls has been measured. The mean ratio was significantly greater in the liver disease group (p less than 0.001), this elevation being most marked among patients with liver metastases and patients ...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000198068

    authors: Eade OE,Maddison A,Leonard PJ,Wright R

    更新日期:1977-01-01 00:00:00

  • Effect of fasting and refeeding on basolateral polyamine uptake and metabolism by the rat small bowel.

    abstract::Fasting reduced the weight, protein, DNA, RNA and polyamine contents of the small intestine of rats, but its effects on the in vivo uptake of intraperitoneally injected 14C-spermidine through the basolateral membrane of the small intestine were small. The uptake of putrescine was nearly doubled by fasting for 48 h. Fa...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000200737

    authors: Bardócz S,Grant G,Brown DS,Ewen SW,Stewart JC,Pusztai A

    更新日期:1991-01-01 00:00:00

  • Effect of filtrate containing Clostridium difficile toxin on rectal mucosa maintained in organ culture.

    abstract::Rectal biopsies were maintained in organ culture over a 24-hour culture period, with good preservation of histological architecture. A filtrate containing Clostridium difficile toxin significantly inhibited the rise in epithelial alkaline phosphatase activity normally seen during culture. This effect was abolished by ...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000199212

    authors: Allan A,Jewell DP

    更新日期:1985-01-01 00:00:00

  • Corticosteroid Therapy Improves the Outcome of Autoimmune Hepatitis-Induced Acute Liver Failure.

    abstract:BACKGROUND/AIMS:Autoimmune hepatitis (AIH) is a relatively rare cause of liver dysfunction and may lead in some cases to acute liver failure (ALF). The aim of our study was to evaluate the clinical course and outcome of patients with AIH-induced ALF. METHODS:We retrospectively enrolled 32 patients with AIH-induced ALF...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000487940

    authors: Anastasiou OE,Dogan-Cavus B,Kucukoglu O,Baba H,Kahraman A,Gerken G,Schramm C,Canbay A

    更新日期:2018-01-01 00:00:00

  • Effect and safety of granulocyte-monocyte adsorption apheresis for patients with ulcerative colitis positive for cytomegalovirus in comparison with immunosuppressants.

    abstract:BACKGROUND:Cytomegalovirus (CMV) infection exacerbates ulcerative colitis (UC) refractory to immunosuppressive therapies (IMT). However, the underlying UC remained active in some UC patients, despite the fact that CMV-DNA in colonic mucosa became negative after antiviral therapy. Therefore, new therapeutic strategies f...

    journal_title:Digestion

    pub_type: 杂志文章,多中心研究

    doi:10.1159/000321911

    authors: Yoshino T,Nakase H,Matsuura M,Matsumura K,Honzawa Y,Fukuchi T,Watanabe K,Murano M,Tsujikawa T,Fukunaga K,Matsumoto T,Chiba T

    更新日期:2011-01-01 00:00:00

  • Esophageal Cancer: New Insights into a Heterogenous Disease.

    abstract:BACKGROUND:Esophageal cancer represents a heterogeneous malignancy mostly diagnosed in advanced stages. Worldwide, squamous cell carcinomas (SCCs) continue to be the most prevalent subtype; however, in the Western countries, the incidence of adenocarcinomas is increasing and will exceed that of SCC in the near future. ...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000464130

    authors: Krug S,Michl P

    更新日期:2017-01-01 00:00:00

  • Physiological study of pH stability and sensitivity to pepsin of human gastric lipase.

    abstract:BACKGROUND/AIMS:The aim of this study was to exactly determine the pH stability of human gastric lipase (HGL) and to investigate the mechanism underlying the inactivation of HGL which occurs in gastric juice. METHODS:Samples of human gastric juice and purified HGL were incubated at various pH values ranging from 0.5 t...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000057708

    authors: Ville E,Carrière F,Renou C,Laugier R

    更新日期:2002-01-01 00:00:00

  • Protective action of omeprazole, a benzimidazole derivative, on gastric mucosal damage by aspirin and ethanol in rats.

    abstract::This study was designed to compare the influence of omeprazole, a potent inhibitor of H+/K+-ATP-ase involved in the final step of H+ secretion and prostaglandin (PG) I2 on the formation of gastric mucosal lesions induced by absolute ethanol or acidified aspirin (ASA). Omeprazole given intragastrically in both inhibito...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000198946

    authors: Konturek SJ,Brzozowski T,Radecki T

    更新日期:1983-01-01 00:00:00

  • Interdigestive gastrointestinal motility and secretion of gastric acid and pancreatic enzymes in young cigarette smokers.

    abstract::The basal (interdigestive) gastrointestinal motor activity and the interdigestive gastric acid and pancreatic amylase secretion were determined in 10 young smokers (mean age 23 years) and 7 nonsmokers (mean age 26 years). There was no significant difference in the length of the interdigestive motor complex between smo...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000199018

    authors: Demol P,Singer MV,Hotz J,Dipp M,Goebell H

    更新日期:1984-01-01 00:00:00

  • Endoscopic Submucosal Dissection Using EndoTrac, a Novel Traction Device.

    abstract:BACKGROUND:Endoscopic submucosal dissection (ESD) is recognized as a minimally invasive and curative treatment for superficial gastrointestinal (GI) cancers. However, ESD is still challenging and time-consuming with a high risk of adverse events such as bleeding and perforation. Various traction methods have been explo...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000511731

    authors: Kaku H,Toyonaga T,Tanaka S,Takihara H,Baba S,Tsubouchi E,Ikeda Y,Orita H,Nakamoto M,Horikawa Y,Chiba H,Ban H,Furumoto Y,Morita R,Kodama Y

    更新日期:2020-12-22 00:00:00

  • Lecithin: cholesterol acyltransferase activity in patients with chronic liver diseases and positive LP-X tests.

    abstract::Lecithin: cholesterol acyltransferase activity has been measured in serum from patients with various liver disorders and positive LP-X tests and from healthy subjects. Statistical analysis indicated that lecithin: cholesterol acyltransferase activity provided no help in the discrimination between the persons of both g...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000198149

    authors: Jung K,Schimmelpfennig W,Wack R,Neumann R

    更新日期:1978-01-01 00:00:00

  • Serum bile acid levels in children with chronic persistent hepatitis and chronic aggressive hepatitis.

    abstract::A statistical study was carried out to determine if fasting serum bile acid levels are clinically useful in differentiating children with chronic persistent hepatitis from children with chronic aggressive hepatitis. Serum bile acid levels were determined in 27 patients with chronic aggressive hepatitis, 41 with chroni...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000198934

    authors: Jara P,Codoceo R,Hernanz A,Castaño C,Diaz C,Montero JL,Vázquez C

    更新日期:1983-01-01 00:00:00

  • Leaky gut in patients with diarrhea-predominant irritable bowel syndrome and inactive ulcerative colitis.

    abstract:BACKGROUND/AIMS:Defective epithelial barrier has been implicated in the pathogenesis of irritable bowel syndrome (IBS) and inflammatory bowel diseases. The aim of this study was to investigate gut permeability in patients with inactive ulcerative colitis (UC) and in patients with IBS. METHODS:IBS patients of the diarr...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000333083

    authors: Gecse K,Róka R,Séra T,Rosztóczy A,Annaházi A,Izbéki F,Nagy F,Molnár T,Szepes Z,Pávics L,Bueno L,Wittmann T

    更新日期:2012-01-01 00:00:00

  • The importance of disease prevalence in assessing the diagnostic value of a test: endoscopic markers in celiac disease.

    abstract:BACKGROUND/AIMS:We evaluated the diagnostic variability and reproducibility of endoscopic signs in two populations with a different pretest likelihood of celiac disease (CD). METHODS:We recruited 289 CD patients (both adults and children) in a multicenter prospective study. Group 1 (high risk) included 111 patients re...

    journal_title:Digestion

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1159/000350436

    authors: Pellegrino S,Furfaro F,Tortora A,Naso P,D'Agate C,Spina M,Belluardo N,Bertone A,Passanisi G,Malandrino S,Familiari L,Villanacci V,Puzzo L,Tuccari G,Sciacca A,Vieni G,Costa S,Currò G,Magazzù G,Sferlazzas C,Bassotti

    更新日期:2013-01-01 00:00:00

  • Plaunotol stimulates endogenous secretin release and exocrine pancreatic secretion in rats.

    abstract::The effect of the new antiulcer agent plaunotol on the release of endogenous secretin and the pancreatic exocrine secretion was investigated in anesthetized rats. In 48 rats with pancreatic and biliary diversion, continuous intraduodenal infusion of plaunotol in 3 graded doses (5, 20 and 80 mg/h/rat) resulted in signi...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000199903

    authors: Chang JH,Watanabe S,Shiratori K,Moriyoshi Y,Takeuchi T

    更新日期:1989-01-01 00:00:00

  • International comparison of mortality from inflammatory bowel disease in the Latin-speaking countries Venezuela, Italy, and France.

    abstract::Mortality data for ulcerative colitis, Crohn's disease, and unspecified inflammatory bowel disease were examined for the countries Venezuela, Italy, and France during the decade 1969-1978. These figures were compared with similar data from England and Wales obtained from 1965 to 1975. In Italy and France deaths from C...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000199040

    authors: D'Oliveira R,Mayberry JF,Newcombe RG,Rhodes J

    更新日期:1984-01-01 00:00:00

  • Changes of rat gastric mucus glycoproteins in cytoprotection: influences of prostaglandin derivatives.

    abstract::The effects of two synthetic prostaglandin E derivatives on mucus glycoproteins in the stomachs of rats were evaluated. Neither derivative caused change in mucus glycoprotein content in the gastric corpus or antrum, but both increased the biosynthetic activity of mucus glycoproteins in these regions (about 15-30%). Fu...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000199621

    authors: Ishihara K,Kuwata H,Ohara S,Okabe H,Hotta K

    更新日期:1988-01-01 00:00:00

  • Functional renal alterations in chronic liver diseases.

    abstract::83 patients with chronic active hepatitis (CAH), 38 of them with cirrhosis, were studied and compared with 10 control subjects suffering from chronic persistent hepatitis (CPH). Tubular acidosis frequently was found in our cases. Renal plasma flow and glomerular filtration rate were significantly decreased in CAH when...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000198421

    authors: Gentilini P,Laffi G,Buzzelli G,Stefani P,Scarpelli P,Paladini S,Smorlesi C,La Villa G,Forti G

    更新日期:1980-01-01 00:00:00

  • Effects of type-2 diabetes and troglitazone on the expression patterns of small intestinal sugar transporters and PPAR-gamma in the Zucker diabetic fatty rat.

    abstract:BACKGROUND/AIMS:We have used the Zucker diabetic fatty (ZDF) rat to study the effects of type-2 diabetes and troglitazone on the small intestinal mucosal mass, sugar transporters and the peroxisomal proliferator-activated receptor, PPAR-gamma. METHODS:Age-matched ZDF and lean control (ZLC) rats were fed a standard cho...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000051879

    authors: Corpe C,Sreenan S,Burant C

    更新日期:2001-01-01 00:00:00

  • The effect of L-amino acids given intravenously on gastric secretion stimulated by pentagastrin in dogs.

    abstract::L-Amino acid solution given intravenously in Heidenhain pouch dogs resulted in marked changes of both basal and pentagastrin-stimulated gastric secretions. During a 1-hour amino acid infusion, a significant augmentation of pentagastrin-induced secretion was observed. A significant increase of secretion during amino ac...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000198207

    authors: Bilski R,Kowalewski K,Secord DC

    更新日期:1978-01-01 00:00:00

  • A novel diamino-pyridine derivative prevents excessive leukocyte infiltration in aggravation of acute necrotizing pancreatitis.

    abstract::Leukocyte infiltration in the pancreas is involved in the aggravation of acute pancreatitis from edematous phase into necrotic change, and mild disease into severe disease; however, the mechanism responsible for leukocyte accumulation is not fully understood. This study was designed to clarify the mechanism underlying...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000051452

    authors: Yamauchi J,Sunamura M,Shibuya K,Takeda K,Kobari M,Matsuno S

    更新日期:1999-01-01 00:00:00