New insights into the pathogenesis and pathophysiology of irritable bowel syndrome
Open accessAbstract
The pathogenesis and pathophysiology of irritable bowel syndrome is complex and still incompletely known. Potential pathogenetic factors include genes, infectious events, psychological symptoms and other loosely defined environmental factors. Both alterations at the central and peripheral level are thought to contribute to the symptoms of irritable bowel syndrome, including psychosocial factors, abnormal gastrointestinal motility and secretion, and visceral hypersensitivity. Today irritable bowel syndrome is viewed upon as a disorder of dysregulation of the so-called brain-gut axis, involving abnormal function in the enteric, autonomic and/or central nervous systems, with peripheral abnormalities probably dominating in some patients and disturbed central processing of signals from the periphery in others. Lines of evidence also suggest that inflammation within the gastrointestinal tract may be of great importance in at least subgroups of irritable bowel syndrome patients. To conclude, a complex picture of the pathogenesis and pathophysiology of irritable bowel syndrome is emerging, with interactions between several different alterations resulting in the divergent symptom pattern in these patients.
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The pathophysiological mechanisms underlying functional bowel disorders are incompletely known, but abnormal gastrointestinal motility, visceral hypersensitivity, altered brain-gut function, low-grade inflammation, psychosocial disturbance and intestinal microbes may contribute.
“The pathophysiological mechanisms underlying these disorders are incompletely known, but abnormal gastrointestinal (GI) motility, visceral hypersensitivity, altered brain–gut function, low-grade inflammation, psychosocial disturbance and intestinal microbes may contribute.10–12”
From Intestinal microbiota in functional bowel disorders: a Rome foundation report (2013) · cites this paper as [11]
AVP and CRH, by stimulating ACTH secretion, may affect the autonomic nervous system and colonic sensorimotor functions.
“AVP and CRH, by stimulating ACTH secretion, may affect the autonomic nervous system (38) and colonic sensorimotor functions (125, 152).”
From Intestinal microbiota and immune function in the pathogenesis of irritable bowel syndrome (2013) · cites this paper as [125]
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Is There an Association Between GNβ3–C825T Genotype and Lower Functional Gastrointestinal Disorders?
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Visceral hypersensitivity following cold water intake in subjects with irritable bowel syndrome
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A Re-examination of the Relationship between Abuse Experience and Functional Bowel Disorders
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Self-citationSubtle involvement of the parasympathetic nervous system in patients with irritable bowel syndrome
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High interdigestive and postprandial motilin levels in patients with the irritable bowel syndrome
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- Authors
- Öhman, L., & Simrén, M.
- Affiliations
- Sahlgrenska University Hospital (SE)
- Corresponding author
- Simrén, M.
- ORCID
- Venue
- Digestive and Liver Disease
- Publisher
- Elsevier BV
- Published
- 2007-03
- Volume
- 39
- Issue
- 3
- Pages
- 201-215
- ISSN
- 1590-8658 (ISSN-L)
- OpenAlex
- W2045948376
- Cited by
- 155
- References
- 192
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 2 · 2023: 11 · 2022: 10 · 2021: 6 · 2020: 5 · 2019: 4 · 2018: 3 · 2017: 9 · 2016: 9 · 2015: 14 · 2014: 13 · 2013: 13 · 2012: 10
- FWCI
- 1.95
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Digestive and Liver Disease (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Health Sciences › Health Professions › Pharmacy › Infant Health and Development
- Keywords
- irritable bowel syndrome, pathogenesis, pathophysiology, gut-brain axis, visceral hypersensitivity, gastrointestinal motility, gastrointestinal secretion, psychosocial factors, enteric nervous system, autonomic nervous system, central nervous system, gastrointestinal inflammation, genetic factors, infection
- MeSH terms
- Animals, Autonomic Nervous System, Disease Models, Animal, Gases, Humans, Hypothalamo-Hypophyseal System, Intestines, Pituitary-Adrenal System, Serotonin, Genetic Predisposition to Disease, Irritable Bowel Syndrome
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