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Complementary and Alternative Medicine in Inflammatory Bowel Disease, An Issue of Gastroenterology Clinics of North America, E-Book

Complementary and Alternative Medicine in Inflammatory Bowel Disease, An Issue of Gastroenterology Clinics of North America, E-Book

Ali Keshavarzian | Ece A. Mutlu

(2017)

Additional Information

Abstract

Dr. Keshavarzian and Dr. Mutlu are well published in the area of complementary and alternative medicine (CAM) in the managmement of IBD are are considered top experts. They have assembled authority authors to present the latest clinical thinking on the use of CAM in IBD. Articles in this issue are devoted to: Use of CAM in IBD Around the World; Microbiota in IBD; Diet in IBD; Probiotics and IBD; Prebiotics and IBD; Fecal Transplant and IBD; Brain/Gut Axis, Stress and IBD; The Psychology of the IBD patient, and the Role of Lifestyle Modification and Hypnosis in Management; Role of Mindfulness and Cognitive Behavioral Therapy in IBD; Sleep and Circadian Hygiene and IBD; Herbs and IBD; Massage Acupuncture, Moxibustion and Other Forms of CAM in IBD; Exercise and IBD; Vitamins and Minerals in IBD; Dietary Therapies in Pediatric Inflammatory Bowel Disease: An Evolving IBD Paradigm; and Integrating CAM into Clinical practice in IBD: Pros and Cons. Readers should come away with sound clinical information that will aid them in the management of this disease.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Complementary and Alternative Medicine in Inflammatory Bowel Disease\r i
Copyright\r ii
Contributors iii
EDITORS iii
AUTHORS iii
Dedication vi
Contents vii
Preface: Complementary and Alternative Treatments Are Needed to Enhance the Care of the Inflammatory Bowel Disease Patient vii
Use of Complementary and Alternative Medicine in Inflammatory Bowel Disease Around the World vii
Complementary and Alternative Medicine Strategies for Therapeutic Gut Microbiota Modulation in Inflammatory Bowel Disease a ... vii
Dietary Therapies in Pediatric Inflammatory Bowel Disease: An Evolving Inflammatory Bowel Disease Paradigm vii
Diet as a Therapeutic Option for Adult Inflammatory Bowel Disease viii
Probiotics in Inflammatory Bowel Disease viii
Prebiotics and Inflammatory Bowel Disease viii
Vitamins and Minerals in Inflammatory Bowel Disease viii
Herbs and Inflammatory Bowel Disease ix
Fecal Transplant in Inflammatory Bowel Disease ix
The Brain-Gut Axis and Stress in Inflammatory Bowel Disease ix
Psychological Considerations and Interventions in Inflammatory Bowel Disease Patient Care ix
Mindfulness-Based Interventions in Inflammatory Bowel Disease x
Massage Acupuncture, Moxibustion, and Other Forms of Complementary and Alternative Medicine in Inflammatory Bowel Disease x
Sleep and Circadian Hygiene and Inflammatory Bowel Disease x
Exercise and Inflammatory Bowel Disease: Insights into Etiopathogenesis and Modification of Clinical Course xi
The Practical Pros and Cons of Complementary and Alternative Medicine in Practice: Integrating Complementary and Alternativ ... xi
GASTROENTEROLOGY\rCLINICS OF NORTH AMERICA\r xii
FORTHCOMING ISSUES xii
March 2018 xii
June 2018 xii
September 2018 xii
RECENT ISSUES xii
September 2017 xii
June 2017 xii
March 2017 xii
Preface:\rComplementary and Alternative Treatments Are Needed to Enhance the Care of the Inflammatory Bowel Disease Patient xiii
Use of Complementary and Alternative Medicine in Inflammatory Bowel Disease Around the World 679
Key points 679
INTRODUCTION 679
TERMINOLOGY AND DEFINITIONS 680
USE OF COMPLEMENTARY AND ALTERNATIVE MEDICINE IN GENERAL POPULATION 681
USE OF COMPLEMENTARY AND ALTERNATIVE MEDICINE IN GASTROINTESTINAL DISEASES 681
USE OF COMPLEMENTARY AND ALTERNATIVE MEDICINE IN INFLAMMATORY BOWEL DISEASES 681
Frequency of Complementary and Alternative Medicine Use Around the World in Inflammatory Bowel Diseases 681
Complementary or Alternative Use? 683
Complementary and Alternative Medicine Use for Inflammatory Bowel Disease Treatment? 683
Complementary and Alternative Medicine Types Used Around the World 683
THE COMPLEMENTARY AND ALTERNATIVE MEDICINE USER PROFILE 684
Reasons and Predictors for Complementary and Alternative Medicine Use 684
Satisfaction and Adverse Events with Complementary and Alternative Medicine Use 684
Adherence to Conventional Treatment 685
Physician Awareness 685
SUMMARY 686
REFERENCES 686
Complementary and Alternative Medicine Strategies for Therapeutic Gut Microbiota Modulation in Inflammatory Bowel Disease a ... 689
Key points 689
INTRODUCTION 690
COMPLEMENTARY AND ALTERNATIVE MEDICINE 691
NUTRACEUTICALS 693
Prebiotics 693
Polysaccharides 694
Squid ink polysaccharide 694
Casein Glycomacropeptide 695
Mushroom Extracts 695
Phytochemicals 696
Microbiome triggered delivery 696
Medical Cannabis 697
MIND-MICROBE BALANCE 699
DIETETIC MANAGEMENT 699
Macronutrients 699
B vitamins 700
Vitamin D 701
Elimination Diets 701
FODMAP 701
Specific carbohydrate diet 702
Exclusive Elemental Nutrition 702
MICROBIOME THERAPY 702
Subtractive Therapy 702
Additive Therapy 703
Probiotics 703
Genetically Engineered Probiotics 704
Predicting Probiotic-Microbiota Interactions in the Host 705
Transformative Therapy 705
Fecal Microbiota Transplantation 706
SUMMARY 706
REFERENCES 707
Dietary Therapies in Pediatric Inflammatory Bowel Disease 731
Key points 731
INTRODUCTION 731
ROLE OF DIET IN PATHOGENESIS OF INFLAMMATORY BOWEL DISEASE 732
DIETARY INTERVENTIONS AS PRIMARY THERAPY FOR INFLAMMATORY BOWEL DISEASE 733
Exclusive Enteral Nutrition 733
Partial Enteral Nutrition 734
Specific Carbohydrate Diet 735
Crohn Disease Exclusion Diet 735
Inflammatory Bowel Disease–Anti-inflammatory Diet 736
Other Exclusion Diets 736
Probiotics and Prebiotics 737
DIETARY INTERVENTIONS AS ADJUNCTIVE THERAPY FOR INFLAMMATORY BOWEL DISEASE 738
SUMMARY 738
REFERENCES 739
Diet as a Therapeutic Option for Adult Inflammatory Bowel Disease 745
Key points 745
INTRODUCTION 745
MACRONUTRIENT ASSOCIATIONS WITH INFLAMMATORY BOWEL DISEASE 746
VITAMINS AND MICRONUTRIENTS 748
FOOD ADDITIVES 749
DIETS FOR THE TREATMENT OF INFLAMMATORY BOWEL DISEASE 750
Exclusive Enteral Nutrition 750
The Specific Carbohydrate Diet 751
The Low FODMAP Diet 754
Our Own Recommendations for an Inflammatory Bowel Disease Diet 755
Other Diets for Inflammatory Bowel Disease 755
The IGG4 exclusion diet 759
Semivegetarian (flexitarian) diet 759
Others 759
SUMMARY 759
REFERENCES 760
Probiotics in Inflammatory Bowel Disease 769
Key points 769
INTRODUCTION 769
PROBIOTICS: DEFINITION 770
PROBIOTICS: MECHANISMS OF ACTION RELEVANT TO INFLAMMATORY BOWEL DISEASE 770
PROBIOTICS IN THE MANAGEMENT OF INFLAMMATORY BOWEL DISEASE 771
Crohn Disease 772
Prebiotics and Inflammatory Bowel Disease 783
Key points 783
INTRODUCTION 783
PREBIOTICS: DEFINITION AND STRUCTURE 784
PREBIOTIC FUNCTION 785
INFLAMMATORY BOWEL DISEASE 786
WHAT IS THE INVOLVEMENT OF MICROBIOTA IN INFLAMMATORY BOWEL DISEASE? 786
DIETARY STRATEGIES TO MINIMIZE PROGRESSION AND SYMPTOMS OF INFLAMMATORY BOWEL DISEASE: IS THERE A NICHE FOR PREBIOTICS? 787
USE OF PREBIOTICS IN IN VITRO AND ANIMAL MODELS AS A FOUNDATION FOR THE USE IN HUMANS WITH INFLAMMATORY BOWEL DISEASE 787
USE OF PREBIOTICS IN HUMANS WITH INFLAMMATORY BOWEL DISEASE: ARE THEY EFFECTIVE? 788
SUMMARY 793
REFERENCES 793
Vitamins and Minerals in Inflammatory Bowel Disease 797
Key points 797
INTRODUCTION: FIXING DEFICIENCIES OR OVERSUPPLEMENTATION? 797
VITAMIN A 798
VITAMIN B1 (THIAMINE) 799
BIOTIN 799
VITAMIN B6 800
VITAMIN B12 AND FOLIC ACID 800
IRON 801
VITAMIN D3 AND CALCIUM 801
VITAMIN K 802
ZINC 803
SUMMARY 803
REFERENCES 804
Herbs and Inflammatory Bowel Disease 809
Key points 809
INTRODUCTION 809
EFFICACY OF HERBS IN INFLAMMATORY BOWEL DISEASE 810
Literature Review 810
Interpreting Trial Results 810
Review of Trial Outcomes 810
TREATMENT OF ACTIVE ULCERATIVE COLITIS 813
Aloe vera (Xanthorrhoeaceae) 813
Triticum aestivum (Wheat Grass Juice) 813
Andrographis paniculata (Indian Echinacea) 813
Boswellia serrata (Indian Frankincense) 814
Curcumin 814
Germinated Barley Foodstuff 814
Xilei-San 814
Fufangkushen Colon-Coated Capsule 815
Bowman-Birk Inhibitor Concentrate 815
Tormentil 815
Active Ulcerative Colitis: Conclusions 815
MAINTENANCE OF INACTIVE ULCERATIVE COLITIS 816
Boswellia serrata (Indian Frankincense) 816
Curcumin 816
Plantago ovata (Psyllium) 816
Germinated Barley Foodstuff 816
Oenothera biennis (Super Evening Primrose Oil) 816
Myrrhinil-Intest (Myrrh, Chamomile, and Coffee Charcoal) 817
Silymarin (Milk Thistle) 817
Inactive Ulcerative Colitis: Conclusions 817
TREATMENT OF ACTIVE CROHN DISEASE 817
Artemisia absinthium (Wormwood) 817
Boswellia serrata (Indian Frankincense) 817
Cannabis sativa 818
Active Crohn Disease: Conclusions 818
MAINTENANCE OF INACTIVE CROHN DISEASE 818
Boswellia serrata 818
Tripterygium wilfordii 818
Inactive Crohn Disease: Conclusions 819
POSSIBLE MODES OF ACTION OF HERBS IN INFLAMMATORY BOWEL DISEASE 819
SIDE EFFECTS OF HERBAL THERAPIES IN INFLAMMATORY BOWEL DISEASE 819
Direct Toxicity 819
Drug Interactions 820
Indirect Adverse Effects 820
Regulation of Herbal Preparations 820
SUMMARY 820
REFERENCES 821
Fecal Transplant in Inflammatory Bowel Disease 825
Key points 825
THE MICROBIOME IN INFLAMMATORY BOWEL DISEASE 826
OBSERVATIONAL STUDIES 827
RANDOMIZED CONTROLLED TRIALS 827
SAFETY 832
THE FUTURE OF FECAL MICROBIOTA TRANSPLANT IN INFLAMMATORY BOWEL DISEASE 833
REFERENCES 834
The Brain-Gut Axis and Stress in Inflammatory Bowel Disease 839
Key points 839
THE BIOLOGY OF THE BRAIN-GUT AXIS AND STRESS IN INFLAMMATORY BOWEL DISEASE 839
HUMAN STUDIES 841
TREATMENT OF MENTAL HEALTH IN INFLAMMATORY BOWEL DISEASE 843
REFERENCES 844
Psychological Considerations and Interventions in Inflammatory Bowel Disease Patient Care 847
Key points 847
INTRODUCTION 847
PSYCHOLOGICAL CONSIDERATIONS IN INFLAMMATORY BOWEL DISEASE 848
What Is Cognitive Behavioral Therapy? 848
INFLAMMATORY BOWEL DISEASE IMPACT 848
Disordered Eating 848
Insomnia and Fatigue 849
Posttraumatic Stress Disorder 850
INFLAMMATORY BOWEL DISEASE TREATMENT CONCERNS 850
INTIMACY CONCERNS 850
Body Image 850
Sexuality 851
Childbearing Concerns 851
STIGMA 851
INTEGRATING MENTAL HEALTH INTO INFLAMMATORY BOWEL DISEASE PATIENT CARE 851
Behavioral Self-Management 852
Medical Hypnotherapy 853
Telemental Health 853
SUMMARY 853
REFERENCES 853
Mindfulness-Based Interventions in Inflammatory Bowel Disease 859
Key points 859
INTRODUCTION 859
METHODS 860
Search Strategy and Study Selection 860
RESULTS AND DISCUSSION 860
Interventions 867
Mindfulness-based stress reduction 867
Mindfulness-based intervention for inflammatory bowel disease 867
Mindfulness-based cognitive therapy 868
Multiconvergent therapy 868
Body-mind workshop 868
Mind-body intervention program and comprehensive lifestyle modification program 868
Yoga 868
Outcomes 869
Psychological outcomes 869
Quality of life 869
Perceived stress 869
Anxiety and depression 869
Mindfulness 869
Other psychosocial measures 870
Summary 870
Physiologic outcomes 870
Disease activity 870
Serum C-reactive protein 871
Fecal calprotectin 871
Cytokines 871
Other physiologic outcomes 871
Summary 871
DIRECTIONS FOR FUTURE RESEARCH 872
REFERENCES 872
Massage Acupuncture, Moxibustion, and Other Forms of Complementary and Alternative Medicine in Inflammatory Bowel Disease 875
Key points 875
MASSAGE, ACUPUNCTURE, MOXIBUSTION, AND OTHER FORMS OF COMPLEMENTARY AND ALTERNATIVE MEDICINE IN INFLAMMATORY BOWEL DISEASE 875
Massage Therapy 876
Acupuncture and Moxibustion 876
What is acupuncture? 876
What is moxibustion? 877
ACUPUNCTURE AND MOXIBUSTION IN INFLAMMATORY BOWEL DISEASE 877
Animal Models of Complementary and Alternative Medicine in Inflammatory Bowel Disease: Acupuncture 877
Animal Models of Complementary and Alternative Medicine in Inflammatory Bowel Disease: Moxibustion 877
Human Studies in Crohn Disease: Acupuncture, Moxibustion, and Combination 877
Human Studies in Ulcerative Colitis: Acupuncture, Moxibustion, and Combination 878
SAFETY OF MASSAGE, ACUPUNCTURE, AND MOXIBUSTION 878
ISSUES FOR FUTURE STUDY 878
SUMMARY 878
REFERENCES 879
Sleep and Circadian Hygiene and Inflammatory Bowel Disease 881
Key points 881
INTRODUCTION 881
SLEEP AND CIRCADIAN TIMING 882
A Basic Overview 882
RISK FACTORS FOR SLEEP AND CIRCADIAN DISRUPTION 883
Shift Work 883
Chronotype and Social Jet Lag 883
OBSERVATIONAL STUDIES IN SLEEP AND CIRCADIAN DISRUPTION IN INFLAMMATORY BOWEL DISEASE 884
Sleep and Inflammatory Bowel Disease 884
Circadian and Inflammatory Bowel Disease 886
POSSIBLE TREATMENT APPROACHES FOR INFLAMMATORY BOWEL DISEASE PATIENTS WITH SLEEP AND CIRCADIAN DISRUPTION 887
SUMMARY AND FUTURE DIRECTIONS 889
REFERENCES 889
Exercise and Inflammatory Bowel Disease 895
Key points 895
INTRODUCTION 895
HEALTH BENEFITS OF EXERCISE: HISTORICAL INFORMATION FROM THE GENERAL POPULATION AND INFLAMMATORY DISORDERS 896
EXERCISE AND INFLAMMATORY BOWEL DISEASE 896
EXERCISE AS AN ENVIRONMENTAL FACTOR INFLUENCING THE ETIOPATHOGENESIS OF INFLAMMATORY BOWEL DISEASE 897
CAN EXERCISE MODULATE CLINICAL COURSE IN INFLAMMATORY BOWEL DISEASE? 898
EXTRAINTESTINAL BENEFITS OF EXERCISE IN INFLAMMATORY BOWEL DISEASE 900
Bone Health 900
Ankylosing Spondylitis 900
Psychological Benefit of Exercise 901
Immune Response 901
Maintaining Normal Weight 901
SUMMARY 901
REFERENCES 902
The Practical Pros and Cons of Complementary and Alternative Medicine in Practice 907
Key points 907
DOES COMPLEMENTARY AND ALTERNATIVE MEDICINE IMPLY A DIFFERENT APPROACH TO INFLAMMATORY BOWEL DISEASE CARE? 909
THE IMPORTANCE OF A COMPREHENSIVE APPROACH 910
WHAT MODELS EXIST FOR INTEGRATION? 910
WHAT ARE THE CHALLENGES IN INTEGRATING COMPLEMENTARY AND ALTERNATIVE MEDICINE? 912
WHAT ARE THE BENEFITS OF INTEGRATING COMPLEMENTARY AND ALTERNATIVE MEDICINE? 914
SUMMARY 915
REFERENCES 915