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Volume 144, Issue 5, Pages 903-911.e3 (May 2013)
A Controlled Trial of Gluten-Free Diet in Patients With Irritable Bowel Syndrome- Diarrhea: Effects on Bowel Frequency and Intestinal Function Maria I. Vazquez–Roque, Michael Camilleri, Thomas Smyrk, Joseph A. Murray, Eric Marietta, Jessica O'Neill, Paula Carlson, Jesse Lamsam, Denise Janzow, Deborah Eckert, Duane Burton, Alan R. Zinsmeister Gastroenterology Volume 144, Issue 5, Pages e3 (May 2013) DOI: /j.gastro Copyright © 2013 AGA Institute Terms and Conditions
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Figure 1 (A) Diet effect on stool frequency (*P = .04), form, and ease of passage; the effect on stool frequency was greater in HLA-DQ2– or HLA-DQ8–positive patients (P = .019). (B) Mean bowel movements per day during 14-day baseline and 28-day diet treatment periods in each patient randomized to gluten-free and gluten-containing diets. HLA-DQ2/8–negative patients are indicated by the open symbols. Gastroenterology , e3DOI: ( /j.gastro ) Copyright © 2013 AGA Institute Terms and Conditions
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Figure 2 Small intestinal and colonic permeability by the cumulative (A) mannitol and (B) lactulose excretion at 0–2 h and 8–24 h, respectively. There was increased small intestinal permeability with GCD, as shown by both cumulative mannitol excretion and the lactulose-to-mannitol ratio (ITT analysis, #P = .028 and P = .0012). The effect on lactulose excretion was borderline significant (*P = .097). Gastroenterology , e3DOI: ( /j.gastro ) Copyright © 2013 AGA Institute Terms and Conditions
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Figure 3 In vitro cytokine production by PBMCs in response to stimulation with either rice (control) or gluten. Note the increased production of IL-10 and GM-CSF, and the borderline increased TNF-α in response to gluten, compared with rice. Gastroenterology , e3DOI: ( /j.gastro ) Copyright © 2013 AGA Institute Terms and Conditions
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Supplementary Figure 1 Trial flow according to the CONSORT guidelines and baseline demographics showing comparability of the 2 diet treatment groups. Gastroenterology , e3DOI: ( /j.gastro ) Copyright © 2013 AGA Institute Terms and Conditions
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