[Gastrointestinal and hepatic diseases].
Diet is considered an important triggering factor for gastrointestinal symptoms whose physiopathology includes not only measurable, inflammatory reactions, but also functional disorders, where no organic effects may be measured or demonstrated. Moreover, the prevalence of the perceived intolerance to certain foods ranges from 20-25% (within the general population) to 50-70% in diseases like irritable bowel syndrome. This intolerance has been observed particularly after the consumption of milk and dairy products, which are frequently considered as causative of gastrointestinal symptoms, thus limiting their ingestion. However, this behavior reduces the dietary sources of calcium and consequently may lead to malnutrition and bone decalcification, amongst other complications. The true dairy intolerance (intestinal lactase deficiency) explains most of the symptoms ensuing their consumption, but the frequency of such alteration on the different gastrointestinal diseases has not been determined. This review focuses on the most frequent gastrointestinal diseases and the existing evidence regarding the alterations and symptoms related to the consumption of milk or dairy products.
Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Ciudad de México, México.
Carlos
C
Moctezuma-Velázquez
Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Ciudad de México, México.
Jonathan
J
Aguirre-Valadez
D000818:Animals; D002118:Calcium; D002446:Celiac Disease / Q000209:etiology; D003611:Dairy Products / Q000009:adverse effects*; D004032:Diet / Q000009:adverse effects*; D057765:Eosinophilic Esophagitis / Q000209:etiology; D005764:Gastroesophageal Reflux / Q000209:etiology; D005767:Gastrointestinal Diseases / Q000209:etiology*; D006801:Humans; D043183:Irritable Bowel Syndrome / Q000209:etiology; D007787:Lactose Intolerance / Q000150:complications; D008107:Liver Diseases / Q000209:etiology*; D008892:Milk / Q000009:adverse effects*; D050500:Pancreatitis, Chronic / Q000209:etiology; D010437:Peptic Ulcer / Q000209:etiology; D015995:Prevalence
D002118:Calcium