Disorders of Brain-Gut Interaction (Functional Gastrointestinal Disorders): Neuromodulators in Clinical Practice (Part II)

Authors

DOI:

https://doi.org/10.22516/25007440.1133

Keywords:

Digestive system disorders, Neurotransmitters, Antidepressants

Abstract

Introduction: This article continues the review of neuromodulators used in clinical practice and their role in treating various disorders of brain-gut interaction (DGBI), particularly gastric, intestinal, and anal disorders.

Materials and Methods: The working group reviewed the most common pathologies and medications according to the latest literature and the best clinical evidence in each case.

Results: Due to the diversity of disorders, study types, and therapeutic options, the decision was made to present the evidence with the best outcomes for each case, including the doses used, their results, and side effects.

Conclusions: The best available evidence of medications used for each DGBI is presented. At the end, a table highlights the most commonly used drugs, their doses, and gastrointestinal effects for each clinical condition, along with another table listing the most important side effects. Since the available evidence is not definitive, more controlled clinical trials are needed for each condition to confirm the effectiveness and safety of these treatments.

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Author Biographies

David Benigno Páramo Hernández, GutMédica Instituto de Salud Digestiva

Gastroenterologist and Clinical Epidemiologist, Gut Médica, Instituto de Salud Digestiva. Bogotá, Colombia.

Luis Fernando Pineda Ovalle, GutMédica, Instituto de Salud Digestiva

Specialist in Internal Medicine, Gastroenterology, and Epidemiology, Gut Médica, Instituto de Salud Digestiva. Director, Gut Médica. Bogotá, Colombia.

Laura Marcela Moya Valenzuela, GutMédica Instituto de Salud Digestiva

Specialist in Internal Medicine and Gastroenterology. Gastroenterologist, Medicali, Clínica de la Colina and Gut Médica, Instituto de Salud Digestiva. Bogotá, Colombia.

Alejandro Concha Mejía, Clínica del Country

Physician and Surgeon, Specialist in Internal Medicine, Gastroenterology, and Epidemiology. Head of Gastroenterology, Clínica del Country. Bogotá, Colombia.

Juan David Páramo Díaz, Pontificia Universidad Javeriana

General Psychiatrist. Instructor Professor, Medical School, Pontificia Universidad Javeriana. Bogotá, Colombia.

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Table 1. Side Effects of Neuromodulators

Published

2024-09-30

How to Cite

Páramo Hernández, D. B., Pineda Ovalle, L. F., Moya Valenzuela, L. M., Concha Mejía, A., & Páramo Díaz, J. D. (2024). Disorders of Brain-Gut Interaction (Functional Gastrointestinal Disorders): Neuromodulators in Clinical Practice (Part II). Revista Colombiana De Gastroenterología, 39(3), 302–309. https://doi.org/10.22516/25007440.1133

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Section

Review articles