Journal article
Functional gastrointestinal disorders: real-life results of a multidisciplinary non-pharmacological approach based on group-consultations
Revista española de enfermedades digestivas, Vol.113(9), pp.627-634
09/01/2021
DOI: 10.17235/reed.2020.7276/2020
PMID: 33371689
Abstract
Introduction: functional gastrointestinal disorders are prevalent and resource consuming. The use of group-consultations in these diseases is limited and no specific multidisciplinary programs have been developed.
Methods: a multidisciplinary approach was used in patients with diverse functional gastrointestinal disorders attending group-consultations (group A). Five two-hour sessions were scheduled over a four-month period. Sessions consisted of a theoretical introduction (Pathophysiology, Low fodmap diet, Over the counter medications, Mediterranean diet, and Laughter therapy workshop) followed by relaxation techniques. This group was compared to a similar group of patients who received written information covering the topics discussed during the group-consultations (group B). Severity of digestive and psychological symptoms, use of drugs and adherence to the diet were the main outcomes measured.
Results: the mean age of participants was 43 (+/- 1.38) years, 78 % were female and 73 % had at least two functional gastrointestinal disorders. Sixty-two patients were included in group A and 17 in group B. The severity of gastrointestinal and psychological symptoms at baseline was similar in both groups. Globally, there was an improvement in all symptoms in both groups. The proportion of participants with severe baseline gastrointestinal symptoms or pathologic anxiety scores that showed improvement was significantly higher in group A (74 % vs 23 %, p = 0.005; 47 % vs 8 %, p = 0.02, respectively). Symptoms were reassessed at six and 12 months after the intervention in participants from group A who attended >= 80 % sessions and a sustained response was observed.
Conclusions: group-consultations are useful and efficient to alleviate gastrointestinal and psychological symptoms in patients with functional gastrointestinal disorders.
Details
- Title: Subtitle
- Functional gastrointestinal disorders: real-life results of a multidisciplinary non-pharmacological approach based on group-consultations
- Creators
- Marta Tejedor - Hosp Univ Infanta Elena, Dept Gastroenterol & Hepatol, Av Reyes Catolicos 21, Madrid 28340, SpainDaniel Alcalde - Hosp Univ Infanta Elena, Dept Gastroenterol & Hepatol, Av Reyes Catolicos 21, Madrid 28340, SpainCristina Cruces - Hosp Univ Infanta Elena, Dept Endocrinol & Nutr, Madrid, SpainElena Hernando - Hosp Univ Infanta Elena, Dept Psychiat, Madrid, SpainMaria Carmen Lopez-Martin - Hosp Univ Infanta Elena, Dept Gastroenterol & Hepatol, Av Reyes Catolicos 21, Madrid 28340, SpainRosa Briz - Hosp Univ Infanta Elena, Dept Gastroenterol & Hepatol, Av Reyes Catolicos 21, Madrid 28340, SpainAlmudena Calvache - Hosp Univ Infanta Elena, Dept Gastroenterol & Hepatol, Av Reyes Catolicos 21, Madrid 28340, SpainRaquel Barranco - Hosp Univ Infanta Elena, Dept Gastroenterol & Hepatol, Av Reyes Catolicos 21, Madrid 28340, SpainLuis Alonso Castillo - Hosp Univ Infanta Elena, Dept Gastroenterol & Hepatol, Av Reyes Catolicos 21, Madrid 28340, SpainInmaculada Chico - Hosp Univ Infanta Elena, Dept Gastroenterol & Hepatol, Av Reyes Catolicos 21, Madrid 28340, SpainMaria de Lucas - Hosp Univ Infanta Elena, Dept Gastroenterol & Hepatol, Av Reyes Catolicos 21, Madrid 28340, SpainRosmery Marrufo Ramos - Hosp Univ Infanta Elena, Dept Gastroenterol & Hepatol, Av Reyes Catolicos 21, Madrid 28340, SpainRaquel Rodriguez - Hosp Univ Infanta Elena, Dept Gastroenterol & Hepatol, Av Reyes Catolicos 21, Madrid 28340, Spain
- Resource Type
- Journal article
- Publication Details
- Revista española de enfermedades digestivas, Vol.113(9), pp.627-634
- Publisher
- Aran Ediciones, S A
- DOI
- 10.17235/reed.2020.7276/2020
- PMID
- 33371689
- ISSN
- 1130-0108
- eISSN
- 2340-4167
- Number of pages
- 8
- Language
- English
- Date published
- 09/01/2021
- Academic Unit
- Internal Medicine
- Record Identifier
- 9984695826702771
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