{"id":2986,"date":"2023-03-01T10:00:00","date_gmt":"2023-03-01T09:00:00","guid":{"rendered":"http:\/\/studioprogettovita.it\/?p=2986"},"modified":"2023-02-26T17:06:53","modified_gmt":"2023-02-26T16:06:53","slug":"la-sindrome-dellintestino-irritabile-ibs-e-lapproccio-in-medicina-osteopatica%ef%bf%bc","status":"publish","type":"post","link":"https:\/\/studioprogettovita.it\/?p=2986","title":{"rendered":"La Sindrome dell\u2019Intestino Irritabile (IBS) e l\u2019approccio in Medicina Osteopatica\ufffc"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"2986\" class=\"elementor elementor-2986\">\n\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-33477a5 e-con-boxed e-con\" data-id=\"33477a5\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;boxed&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-cb74913 elementor-widget elementor-widget-heading\" data-id=\"cb74913\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.8.0 - 30-10-2022 *\/\n.elementor-heading-title{padding:0;margin:0;line-height:1}.elementor-widget-heading .elementor-heading-title[class*=elementor-size-]>a{color:inherit;font-size:inherit;line-height:inherit}.elementor-widget-heading .elementor-heading-title.elementor-size-small{font-size:15px}.elementor-widget-heading .elementor-heading-title.elementor-size-medium{font-size:19px}.elementor-widget-heading .elementor-heading-title.elementor-size-large{font-size:29px}.elementor-widget-heading .elementor-heading-title.elementor-size-xl{font-size:39px}.elementor-widget-heading .elementor-heading-title.elementor-size-xxl{font-size:59px}<\/style><h2 class=\"elementor-heading-title elementor-size-default\">La Sindrome dell\u2019Intestino Irritabile (IBS) e l\u2019approccio in Medicina Osteopatica\n<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-a606db7 e-con-boxed e-con\" data-id=\"a606db7\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;boxed&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-80a9469 elementor-widget elementor-widget-text-editor\" data-id=\"80a9469\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.8.0 - 30-10-2022 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#818a91;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#818a91;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<p><span style=\"font-weight: 400;\">In precedenza chiamata \u201ccolite spastica\u201d o \u201cdisturbi gastrointestinali funzionali\u201d o \u201ccolon irritabile\u201d, \u00e8 un <\/span><b>disturbo dell&#8217;interazione intestino-cervello<\/b><span style=\"font-weight: 400;\"> comune e debilitante. Interessa circa il 10% della popolazione, con un tasso pi\u00f9 alto di prevalenza\u00a0dai 20 ai 50 anni colpendo soprattutto il di sesso femminile.\u00a0<\/span><\/p><p><span style=\"font-weight: 400;\">Si caratterizza attraverso la <\/span><b>cronicit\u00e0<\/b><span style=\"font-weight: 400;\"> (sintomo insorto <\/span><b>almeno 6 mesi prima<\/b><span style=\"font-weight: 400;\"> della diagnosi) di un <\/span><b>fastidio<\/b><span style=\"font-weight: 400;\"> o <\/span><b>dolore addominale ricorrente<\/b><span style=\"font-weight: 400;\"> (cio\u00e8 va e viene ad andamento fluttuante per <\/span><b>almeno 3 giorni al mese <\/b><span style=\"font-weight: 400;\">negli<\/span><b> ultimi 3 mesi<\/b><span style=\"font-weight: 400;\">) <\/span><b>con<\/b><span style=\"font-weight: 400;\"> almeno <\/span><b>due<\/b><span style=\"font-weight: 400;\"> delle seguenti <\/span><b>caratteristiche<\/b><span style=\"font-weight: 400;\">:\u00a0<\/span><\/p><p><b>relazione<\/b><span style=\"font-weight: 400;\"> alla <\/span><b>defecazione<\/b><span style=\"font-weight: 400;\"> (il dolore migliora dopo l\u2019evacuazione), associazione con un cambiamento nella <\/span><b>frequenza<\/b><span style=\"font-weight: 400;\"> delle feci (intestino stitico, diarroico o misto, cio\u00e8 alternanza tra stipsi e diarrea) o associazione con un cambiamento nella <\/span><b>consistenza<\/b><span style=\"font-weight: 400;\"> delle feci (<\/span><b>criteri Diagnostici Internazionali<\/b><span style=\"font-weight: 400;\"> di <\/span><b>ROMA IV<\/b><span style=\"font-weight: 400;\">).<\/span><\/p><p>\u00a0<\/p><p><span style=\"font-weight: 400;\">Essendo per definizione una sindrome (dal gr.\u00a0<\/span><i><span style=\"font-weight: 400;\">syndrom\u1e17<\/span><\/i><span style=\"font-weight: 400;\">\u00a0\u201cconfluenza\u201d, in medicina, un complesso pi\u00f9 o meno caratteristico di sintomi, senza per\u00f2 un preciso riferimento alle sue cause e al meccanismo di comparsa) <\/span><b>non \u00e8 riconoscibile un singolo fattore scatenante ne la fisiopatologia \u00e8 chiara<\/b><span style=\"font-weight: 400;\">, bens\u00ec \u00e8 la <\/span><b>combinazione di fattori fisiologici e psicosociali<\/b><span style=\"font-weight: 400;\"> a generare e mantenere il disturbo. Non ci sono infatti cause organiche rilevabili mediante esami di laboratorio, esami di imaging o anatomopatologici.<\/span><\/p><p>\u00a0<\/p><p><span style=\"font-weight: 400;\">Dal <\/span><b>lato psico-sociale<\/b><span style=\"font-weight: 400;\"> possiamo trovare atteggiamenti aberranti nei confronti delle malattie (la persona esprime il conflitto emotivo come disturbo gastrointestinale, solitamente in forma di dolore addominale), aspetti cognitivi ed emotivi (il disturbo \u00e8 stato spesso considerato per molto tempo come puramente psicosomatico). Alcuni pazienti hanno\u00a0<\/span><a href=\"https:\/\/www.msdmanuals.com\/it-it\/professionale\/disturbi-psichiatrici\/ansia-e-disturbi-correlati-allo-stress\/panoramica-sui-disturbi-d-ansia\"><span style=\"font-weight: 400;\">disturbi d&#8217;ansia<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.msdmanuals.com\/it-it\/professionale\/disturbi-psichiatrici\/disturbi-dell-umore\/disturbi-depressivi\"><span style=\"font-weight: 400;\">depressione<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.msdmanuals.com\/it-it\/professionale\/disturbi-psichiatrici\/sintomi-somatici-e-disturbi-correlati\/panoramica-sulla-somatizzazione\"><span style=\"font-weight: 400;\">disturbi di somatizzazione<\/span><\/a><span style=\"font-weight: 400;\"> e si deve ricercare la presenza di problemi psicologici non risolti, inclusa la possibilit\u00e0 di violenze sessuali o fisiche.<\/span><\/p><p>\u00a0<\/p><p><span style=\"font-weight: 400;\">Dall&#8217;altro\u00a0lato si riscontrano <\/span><b>fattori biologici<\/b><span style=\"font-weight: 400;\">, come la predisposizione e la suscettibilit\u00e0 individuale, alterazioni della motilit\u00e0 del tratto gastro intestinale (<\/span><b>esagerato riflesso gastro-colico post-prandiale<\/b><span style=\"font-weight: 400;\">, alternanza stipsi-diarrea), la sensibilit\u00e0 dei visceri (<\/span><b>iperalgesia viscerale<\/b><span style=\"font-weight: 400;\">) da rimodellamento delle vie neurali nell&#8217;asse intestino-cervello (<\/span><b>brain-gut axis<\/b><span style=\"font-weight: 400;\">), la percezione soggettiva del dolore, l\u2019alterazione della flora batterica (<\/span><b>permeabilit\u00e0 intestinale<\/b><span style=\"font-weight: 400;\">, regime alimentare ricco di <\/span><b>FODMAPs<\/b><span style=\"font-weight: 400;\">) ed infezioni intestinali (gastro enterite acuta).\u00a0<\/span><\/p><p><span style=\"font-weight: 400;\">La situazione inoltre pu\u00f2 essere amplificata dal punto di vista sintomatologico in presenza di intolleranze ed allergie alimentari, di un utilizzo cronico di farmaci (es. antinfiammatori, antibiotici) e di eventi psico-fisici stressanti. Il nostro intestino \u00e8 considerato il nostro &#8220;secondo cervello&#8221;, vista la continua comunicazione con il nostro &#8220;primo cervello&#8221;. Per questo motivo, molti eventi stressanti a livello psichico si riflettono sull&#8217;intestino, e viceversa (problemi addominali che causano stress psicologici).\u00a0<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-85a245b e-con-boxed e-con\" data-id=\"85a245b\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;boxed&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7138b49 elementor-widget elementor-widget-image\" data-id=\"7138b49\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.8.0 - 30-10-2022 *\/\n.elementor-widget-image{text-align:center}.elementor-widget-image a{display:inline-block}.elementor-widget-image a img[src$=\".svg\"]{width:48px}.elementor-widget-image img{vertical-align:middle;display:inline-block}<\/style>\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"667\" height=\"621\" src=\"https:\/\/studioprogettovita.it\/wp-content\/uploads\/2023\/03\/2.jpg\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/studioprogettovita.it\/wp-content\/uploads\/2023\/03\/2.jpg 667w, https:\/\/studioprogettovita.it\/wp-content\/uploads\/2023\/03\/2-300x279.jpg 300w\" sizes=\"(max-width: 667px) 100vw, 667px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-8ad478f e-con-boxed e-con\" data-id=\"8ad478f\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;boxed&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-84b59af elementor-widget elementor-widget-text-editor\" data-id=\"84b59af\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><b>Spesso i pazienti dichiarano una riduzione della qualit\u00e0 della vita e circa il 60% di essi lamenta anche debolezza ed affaticamento.<\/b><span style=\"font-weight: 400;\"> La sindrome si presenta <\/span><b>spesso associata con altri disturbi gastro intestinale<\/b><span style=\"font-weight: 400;\"> come la dispepsia funzionale e la malattia da reflusso gastroesofageo, cos\u00ec come con altre patologie, inclusa la malattia celiaca. Tra i vari <\/span><b>sintomi associabili<\/b><span style=\"font-weight: 400;\"> alla Sindrome da Intestino Irritabile troviamo sintomi riconducibili a quadri di cefalea e dolore all&#8217;articolazione temporo-mandibolare, dolore dorso lombare, ansia, depressione, fibromialgia, fatica cronica,\u00a0<\/span><a href=\"https:\/\/www.humanitas.it\/pazienti\/malattie-e-cure\/sistema-riproduttivo-e-urinario\/7704-cistite#sintesi\"><span style=\"font-weight: 400;\">cistite<\/span><\/a><span style=\"font-weight: 400;\">, dolore pelvico cronico.<\/span><\/p><p>\u00a0<\/p><p><span style=\"font-weight: 400;\">La <\/span><b>diagnosi \u00e8 clinica medica e gastro-enterologica ad esclusione<\/b><span style=\"font-weight: 400;\">, dal momento che i sintomi sono presenti ma\u00a0non \u00e8 presente una patologia d\u2019organo che possa spiegarne la causa.\u00a0<\/span><\/p><p><span style=\"font-weight: 400;\">Esistono per\u00f2 sintomi che possono necessitare di esami diagnostici specifici a cura del medico di base o dello specialista di riferimento:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">insorgenza dopo i 50 anni di et\u00e0<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">dimagrimento inspiegabile<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">anemia<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">febbre<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">sangue nelle feci<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">dolore che non migliora dopo l&#8217;evacuazione<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Fra i <\/span><b>test diagnostici utili per eseguire una corretta diagnosi differenziale<\/b><span style=\"font-weight: 400;\"> vi sono:<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.humanitas.it\/pazienti\/diagnosi\/esami-invasivi\/789-colonscopia\"><span style=\"font-weight: 400;\">Colonscopia<\/span><\/a><span style=\"font-weight: 400;\">: esame morfologico dell\u2019intestino crasso con prelievi bioptici\/asportazioni polipi<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Breath test al lattosio: esame per verificare presenza o assenza di enzima Lattasi che digerisce zuccheri (se assente i sintomi possono essere riconducibili a intolleranza al lattosio)<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Esami del sangue per la Celiachia: esame per verificare indici infiammatori e antigeni per la malattia celiaca (se presenti i sintomi possono essere riconducibili allergia al glutine)<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.humanitas.it\/pazienti\/diagnosi\/tac\/772-tac\"><span style=\"font-weight: 400;\">Tomografia computerizzata<\/span><\/a><span style=\"font-weight: 400;\">:\u00a0per escludere patologie d\u2019organo in ambito addominale extra colico<\/span><\/li><\/ul><p>\u00a0<\/p><p><span style=\"font-weight: 400;\">Il trattamento in <\/span><b>Medicina Convenzionale<\/b><span style=\"font-weight: 400;\"> \u00e8 sintomatico e consiste nell&#8217;assunzione di <\/span><b>farmaci, inclusi anticolinergici e agenti attivi sui recettori serotoninergici<\/b><span style=\"font-weight: 400;\">.<\/span><\/p><p><span style=\"font-weight: 400;\">Di fondamentale importanza un\u2019adeguata <\/span><b>educazione alimentare supportata dal Nutrizionista<\/b><span style=\"font-weight: 400;\"> di riferimento permette di evitare cibi che producono gas intestinale e quelli che inducono diarrea.\u00a0<\/span><\/p><p><b>L&#8217;uso di\u00a0probiotici<\/b><span style=\"font-weight: 400;\">\u00a0per trattare la sindrome dell&#8217;intestino irritabile \u00e8 aumentato negli ultimi anni data l&#8217;importanza del microbioma intestinale in questo disturbo.<\/span><\/p><p><b>La terapia psicologica di tipo cognitivo-comportamentale<\/b><span style=\"font-weight: 400;\"> ha evidenziato la sua importanza nella gestione degli aspetti psico sociali inerenti la sindrome e permettendo di affrontare il disagio fisico gestendo le implicazioni emotive e comportamentali che esso porta con s\u00e9.<\/span><\/p><p>\u00a0<\/p><p><b>In Medicina Osteopatica<\/b><span style=\"font-weight: 400;\">, mettendo in particolare <\/span><b>risalto la bidirezionalit\u00e0 comunicativa tra primo e secondo cervello<\/b><span style=\"font-weight: 400;\"> e considerando la peculiare <\/span><b>capacit\u00e0 del sistema nervoso autonomo<\/b><span style=\"font-weight: 400;\"> (ortosimpatico, parasimpatico ed <\/span><b>enterico<\/b><span style=\"font-weight: 400;\">) di <\/span><b>gestire<\/b><span style=\"font-weight: 400;\"> correttamente o meno<\/span><b> lo stato infiammatorio intestinale locale e globale<\/b><span style=\"font-weight: 400;\">, si valutano le differenti aree del corpo che mancano di una corretta integrazione e che possono generare una manifestazione sintomatologica correlabile.<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-a5381f0 e-con-boxed e-con\" data-id=\"a5381f0\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;boxed&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-41b1369 elementor-widget elementor-widget-image\" data-id=\"41b1369\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"767\" height=\"551\" src=\"https:\/\/studioprogettovita.it\/wp-content\/uploads\/2023\/03\/3.jpg\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/studioprogettovita.it\/wp-content\/uploads\/2023\/03\/3.jpg 767w, https:\/\/studioprogettovita.it\/wp-content\/uploads\/2023\/03\/3-300x216.jpg 300w\" sizes=\"(max-width: 767px) 100vw, 767px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ab7fbc9 e-con-boxed e-con\" data-id=\"ab7fbc9\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;boxed&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1b68182 elementor-widget elementor-widget-text-editor\" data-id=\"1b68182\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Nei casi di Sindrome dell\u2019Intestino Irritabile l\u2019Osteopata andr\u00e0 ad indagare le componenti disfunzionali relative al sistema neurovegetativo di competenza, all\u2019area vertebrale dorso lombare e\u00a0sacrale associate, al diaframma\u00a0toracico e pelvico e\u00a0la loro relazione, all\u2019area cranio cervicale deputata al controllo\u00a0vagale, alle strutture viscerali\u00a0(in particolare alle componenti del piccolo e grande intestino), alle aree linfatiche e di connettivo connesse al MALT (sistema immunitario linfoide associato alle mucose).<\/span><\/p><p><b>L\u2019approccio all\u2019IBS con l\u2019Osteopatia <\/b><span style=\"font-weight: 400;\">\u00e8 quello di andare a generare, attraverso le pi\u00f9 appropriate tecniche viscerali e connettivali, un processo terapeutico di autocorrezione che possa<\/span><b> ridurre le tensioni <\/b><span style=\"font-weight: 400;\">e\u00a0i sintomi dolorosi<\/span><b> a livello addominale, ripristinare il drenaggio linfatico e <\/b><span style=\"font-weight: 400;\">venoso per aiutare la corretta motilit\u00e0 intestinale<\/span><b> e riequilibrare il sistema nervoso autonomo <\/b><span style=\"font-weight: 400;\">enterico favorendo l\u2019adeguata comunicazione somato-viscerale e viceversa.<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-d742608 e-con-boxed e-con\" data-id=\"d742608\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;boxed&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-08dec43 elementor-widget elementor-widget-text-editor\" data-id=\"08dec43\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Andrea Viale DO mROI &#8211; Osteopata<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-da486cc e-con-boxed e-con\" data-id=\"da486cc\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;boxed&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ad8bb6f elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"ad8bb6f\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.8.0 - 30-10-2022 *\/\n.elementor-widget-divider{--divider-border-style:none;--divider-border-width:1px;--divider-color:#2c2c2c;--divider-icon-size:20px;--divider-element-spacing:10px;--divider-pattern-height:24px;--divider-pattern-size:20px;--divider-pattern-url:none;--divider-pattern-repeat:repeat-x}.elementor-widget-divider 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100%;-webkit-mask-repeat:var(--divider-pattern-repeat);mask-repeat:var(--divider-pattern-repeat);background-color:var(--divider-color);-webkit-mask-image:var(--divider-pattern-url);mask-image:var(--divider-pattern-url)}.elementor-widget-divider--no-spacing{--divider-pattern-size:auto}.elementor-widget-divider--bg-round{--divider-pattern-repeat:round}.rtl .elementor-widget-divider .elementor-divider__text{direction:rtl}.e-con-inner>.elementor-widget-divider,.e-con>.elementor-widget-divider{width:var(--container-widget-width,100%)}<\/style>\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-412ea3c e-con-boxed e-con\" data-id=\"412ea3c\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;boxed&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-29ed3ed elementor-widget elementor-widget-text-editor\" data-id=\"29ed3ed\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><b>BIBLIOGRAFIA<\/b><\/p><p>\u00a0<\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/33315591\/\"><span style=\"font-weight: 400;\">Lacy BE, Pimentel M, Brenner DM, et al<\/span><\/a><span style=\"font-weight: 400;\">: ACG Clinical Guideline: Management of irritable bowel syndrome.\u00a0Am J Gastroenterol\u00a0116(1):17\u201344, 2021<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Grundmann O, Yoon SL. Irritable bowel syndrome: epidemiology, diagnosis and treatment: an update for health-care practitioners. J Gastroenterol Hepatol 2010 Apr;25(4):691-9.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Zhou Q, Verne GN. New insights into visceral hypersensitivity clinical implications in IBS. Nat Rev Gastroenterol Hepatol 2011 Jun;8(6):349-55.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">T\u00f6rnblom H, Van Oudenhove L, Sadik R et al. Colonic transit time and IBS symptoms: what\u2019s the link? The American Journal of Gastroenterology 2012;107:754-60.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Camilleri M, Lasch K, Zhou W. Irritable bowel syndrome: methods, mechanisms, and pathophysiology. The confluence of increased permeability, inflammation, and pain in irritable bowel syndrome. Am J Physiol Gastrointest Liver Physiol 2012;303:G775-G85.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Randa Mostafa. Rome III: The functional gastrointestinal disorders, third edition, 2006. World J Gastroenterol 2008 April 7;14(13):2124-5.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Hussain Z, Quigley EM. Systematic review: complementary and alternative medicine in the irritable bowel syndrome. Aliment Pharmacol Ther 2006; 23:465-71.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">WHO Benchmarks for training in osteopathy, 2010.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Barral JP, Mercier P, Roth J. Visceral manipulation. Eastland Pr. 1988.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tozzi P, Bongiorno D, Venturini C. Low back pain and kidney mobility: local osteopathic fascial manipulation decreases pain perception and improves renal mobility. J Body Mov Ther 2012 Jul;16(3):381-91.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">M\u00fcller A, Franke H, Resch KL, Fryer G. Effectiveness of osteopathic manipulative therapy for managing symptoms of irritable bowel syndrome: a systematic review. Am Osteopath Assoc 2014 Jun;114(6):470-9.<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Collebrusco L, Lombardini R. What about OMT and nutrition for managing the irritable bowel syndrome? An overview and treatment plan. Explore (NY) 2014 Sep-Oct;10(5):309-18. M<\/span><\/li><\/ul>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>La Sindrome dell\u2019Intestino Irritabile (IBS) e l\u2019approccio in Medicina Osteopatica In precedenza chiamata \u201ccolite spastica\u201d o \u201cdisturbi gastrointestinali funzionali\u201d o \u201ccolon irritabile\u201d, \u00e8 un disturbo dell&#8217;interazione intestino-cervello comune e debilitante. Interessa circa il 10% della popolazione, con un tasso pi\u00f9 alto di prevalenza\u00a0dai 20 ai 50 anni colpendo soprattutto il di sesso femminile.\u00a0 Si caratterizza [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":2994,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[15,19],"tags":[],"_links":{"self":[{"href":"https:\/\/studioprogettovita.it\/index.php?rest_route=\/wp\/v2\/posts\/2986"}],"collection":[{"href":"https:\/\/studioprogettovita.it\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/studioprogettovita.it\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/studioprogettovita.it\/index.php?rest_route=\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/studioprogettovita.it\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2986"}],"version-history":[{"count":8,"href":"https:\/\/studioprogettovita.it\/index.php?rest_route=\/wp\/v2\/posts\/2986\/revisions"}],"predecessor-version":[{"id":3001,"href":"https:\/\/studioprogettovita.it\/index.php?rest_route=\/wp\/v2\/posts\/2986\/revisions\/3001"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/studioprogettovita.it\/index.php?rest_route=\/wp\/v2\/media\/2994"}],"wp:attachment":[{"href":"https:\/\/studioprogettovita.it\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2986"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/studioprogettovita.it\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2986"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/studioprogettovita.it\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2986"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}