Cited by 122Gastrointestinal motility and disordersGut microbiota and healthInflammatory Bowel Disease

Infection, inflammation, and the irritable bowel syndrome

Open access
Spiller, R., Garsed, K.·2009·Digestive and Liver Disease

Abstract

Gastrointestinal infection is ubiquitous worldwide though the pattern of infection varies widely. Poor hygiene and lack of piped water is associated with a high incidence of childhood infection, both viral and bacterial. However in developed countries bacterial infection is commoner in young adults. Studies of bacterial infections in developed countries suggest 75% of adults fully recover, however around 25% have long lasting changes in bowel habit and a smaller number develop the irritable bowel syndrome (IBS). Whether the incidence is similar in developing countries is unknown. Post-infective IBS (PI-IBS) shares many features with unselected IBS but by having a defined onset allows better definition of risk factors. These are in order of importance: severity of initial illness, smoking, female gender and adverse psychological factors. Symptoms may last many years for reasons which are unclear. They are likely to include genetic factors controlling the immune response, alterations in serotonin signaling, low grade mucosal inflammation maintained by psychological stressors and alterations in gut microbiota. As yet there are no proven specific treatments, though 5HT(3) receptor antagonists, anti-inflammatory agents and probiotics are all logical treatments which should be examined in large well-designed randomised placebo controlled trials.

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Crossref · 10.1016/j.dld.2009.07.007

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  • Clinical studies show that up to 20% of IBS is preceded by an enteric infection, which produces a profound alteration of the host microbiota.

    “Clinical studies show that up to 20% of IBS is preceded by an enteric infection, which produces a profound alteration of the host microbiota [52] .”

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Research works printed but not linked: 2

  1. Coker AO, Isokpehi RD, Thomas BN, et al. Human campylobacteriosis in devel- oping countries. Emerg Infect Dis 2002;8:237-44.
  2. Whitehouse CA, Balbo PB, Pesci EC, et al. Campylobacter jejuni cyto- lethal distending toxin causes a G2-phase cell cycle block. Infect Immun 1998;66:1934-40.

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Authors
Spiller, R., & Garsed, K.
Affiliations
  • Nottingham University Hospitals NHS Trust (GB)
  • NIHR Nottingham Digestive Diseases Biomedical Research Unit (GB)
Corresponding author
Spiller, R.
Venue
Digestive and Liver Disease
Publisher
Elsevier BV
Published
2009-12
Volume
41
Issue
12
Pages
844-849
ISSN
1590-8658 (ISSN-L)
OpenAlex
W2003617540
Cited by
122
References
93
Citations by year
2026: 1 · 2025: 2 · 2024: 3 · 2023: 2 · 2022: 4 · 2021: 7 · 2020: 2 · 2019: 5 · 2018: 5 · 2017: 6 · 2016: 7 · 2015: 9 · 2014: 15 · 2013: 12 · 2012: 10
FWCI
2.13
Type
journal article
Language
en
Open access
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
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Inflammatory Bowel Disease
Keywords
irritable bowel syndrome, gastrointestinal infections, bacterial infection, viral infection, pediatric infection, altered bowel habits, mucosal inflammation, serotonin signaling, gut microbiota, psychological stress, smoking, female sex, immune response genetics, 5-HT3 receptor antagonists, probiotics, anti-inflammatory agents
MeSH terms
Age Factors, Developing Countries, Gastroenteritis, Humans, Inflammation, Life Style, Risk Factors, Sex Factors, Incidence, Developed Countries, Gastrointestinal Tract, Irritable Bowel Syndrome

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