Functional gastrointestinal disorders: real-life results of a multidisciplinary non-pharmacological approach based on group-consultations
Functional gastrointestinal disorders are prevalent and resource consuming. The use of group-consultations in these diseases is limited. No specific multidisciplinary programmes have been developed. A multidisciplinary approach was used in patients with diverse functional gastrointestinal disorders...
Saved in:
| Published in: | Revista española de enfermedades digestivas Vol. 113; no. 9; pp. 627 - 634 |
|---|---|
| Main Authors: | , , , , , , , , , , , , , |
| Format: | Journal Article |
| Language: | English Spanish |
| Published: |
Spain
Sociedad Espanola de Patologia Digestivas
01-09-2021
|
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Summary: | Functional gastrointestinal disorders are prevalent and resource consuming. The use of group-consultations in these diseases is limited. No specific multidisciplinary programmes have been developed.
A multidisciplinary approach was used in patients with diverse functional gastrointestinal disorders attending group-consultations (Group A). Five 2-hour sessions were scheduled over a 4 month period. Sessions consisted on a theoretical introduction (Pathophysiology; Low fodmap diet; Over the counter medications; Mediterranean diet; Laughter therapy workshop) followed by relaxation techniques. This group was compared to a similar group of patients who received written information covering the topics treated 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.
Mean age of participants was 43 (± 1.38) years. 78% were women. 73% had at least 2 functional gastrointestinal disorders. 62 patients were included in Group A, 17 in Group B. The severity of gastrointestinal and psychological symptoms at baseline was similar between 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 6 and 12 months after the intervention among those participants in Group A who attended ≥ 80% sessions, and sustained response was observed.
Group-consultations are useful and efficient to alleviate gastrointestinal and psychological symptoms in patients with functional gastrointestinal disorders. |
|---|---|
| Bibliography: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
| ISSN: | 1130-0108 |
| DOI: | 10.17235/reed.2020.7276/2020 |