{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T11:08:21Z","timestamp":1779966501637,"version":"3.53.1"},"reference-count":37,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,5,10]],"date-time":"2026-05-10T00:00:00Z","timestamp":1778371200000},"content-version":"vor","delay-in-days":9,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100009727","name":"Hospital Research Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009727","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["JGH Open"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Disorders of gut\u2013brain interaction (DGBI) affect approximately 40% of the global population. Multidisciplinary models incorporating dietetic management are increasingly used, yet objective assessment tools remain limited. This study evaluated the clinical utility of intestinal ultrasound (IUS) within a dietitian\u2010led DGBI clinic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Consecutive patients underwent IUS at baseline and after dietetic intervention. Irritable bowel syndrome severity scores (IBS\u2010SSS) and sonographic parameters were recorded at both visits. Fecal loading was defined by posterior acoustic shadowing and\/or colonic diameter &gt;\u200950\u2009mm. Patient satisfaction was assessed using a 100\u2010point Visual Analog Scale (VAS), with scores \u2265\u200975 indicating satisfaction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Ninety\u2010seven patients underwent IUS: 85 met Rome IV criteria for irritable bowel syndrome, 7 for functional constipation, and 5 for functional diarrhea. IUS confirmed the clinical diagnosis in 67% (65\/97) and led to management changes in 28% (27\/97). Fecal loading was identified in 22% (6\/27) of patients reporting diarrhea. Mean satisfaction with IUS was high (97; 95% CI: 87.5\u2013100). Sequential IUS was performed in 38 patients; management of IUS\u2010defined fecal loading significantly reduced colonic diameter (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and posterior acoustic shadowing (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), with corresponding improvement in IBS\u2010SSS scores (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.0001). New inflammatory bowel disease was detected in 3 (8%) patients.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>IUS enhances diagnostic confidence and informs management in a dietitian\u2010led DGBI clinic. It represents a safe, well\u2010tolerated, and cost\u2010effective adjunct to clinical assessment, supporting its integration into multidisciplinary models of care. Further studies should clarify its role in functional gastrointestinal evaluation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jgh3.70415","type":"journal-article","created":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T04:26:21Z","timestamp":1778473581000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Intestinal Ultrasound Adds Diagnostic Value and Safety to a Dietitian\u2010Led Clinic for Disorders of Gut\u2013Brain Interaction"],"prefix":"10.1002","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8838-9721","authenticated-orcid":false,"given":"R. M.","family":"Mathias","sequence":"first","affiliation":[{"name":"Department of Gastroenterology The Queen Elizabeth Hospital  Adelaide South Australia Australia"},{"name":"Inflammatory Bowel Disease Research Group The Basil Hetzel Institute for Translational Health Research  Adelaide South Australia Australia"},{"name":"School of Medicine, Faculty of Health and Medical Sciences, The University of Adelaide  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. L.","family":"Plush","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology The Queen Elizabeth Hospital  Adelaide South Australia Australia"},{"name":"Inflammatory Bowel Disease Research Group The Basil Hetzel Institute for Translational Health Research  Adelaide South Australia Australia"},{"name":"School of Medicine, Faculty of Health and Medical Sciences, The University of Adelaide  Adelaide South Australia Australia"},{"name":"Department of Nutrition and Dietetics The Queen Elizabeth Hospital  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L. E.","family":"Edwards","sequence":"additional","affiliation":[{"name":"Central Adelaide Local Health Network  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9207-563X","authenticated-orcid":false,"given":"D.","family":"Bogatic","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology The Queen Elizabeth Hospital  Adelaide South Australia Australia"},{"name":"Inflammatory Bowel Disease Research Group The Basil Hetzel Institute for Translational Health Research  Adelaide South Australia Australia"},{"name":"School of Medicine, Faculty of Health and Medical Sciences, The University of Adelaide  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Bibb","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology The Queen Elizabeth Hospital  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4659-2422","authenticated-orcid":false,"given":"T. M.","family":"Goodsall","sequence":"additional","affiliation":[{"name":"School of Medicine, Faculty of Health and Medical Sciences, The University of Adelaide  Adelaide South Australia Australia"},{"name":"Inflammatory Bowel Disease Service, Department of Gastroenterology John Hunter Hospital  Newcastle New South Wales Australia"},{"name":"School of Medicine, The University of Newcastle  Newcastle New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4905-5056","authenticated-orcid":false,"given":"A. S.","family":"Day","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology The Queen Elizabeth Hospital  Adelaide South Australia Australia"},{"name":"Inflammatory Bowel Disease Research Group The Basil Hetzel Institute for Translational Health Research  Adelaide South Australia Australia"},{"name":"School of Medicine, Faculty of Health and Medical Sciences, The University of Adelaide  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. V.","family":"Bryant","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology The Queen Elizabeth Hospital  Adelaide South Australia Australia"},{"name":"Inflammatory Bowel Disease Research Group The Basil Hetzel Institute for Translational Health Research  Adelaide South Australia Australia"},{"name":"School of Medicine, Faculty of Health and Medical Sciences, The University of Adelaide  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,10]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2021.11.019"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/apt.12938"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41395-018-0262-x"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-230X-8-5"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2020.04.014"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1159\/000511105"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/imj.16591"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/imj.14067"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-1253(20)30215-6"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2021.12.248"},{"key":"e_1_2_10_12_1","first-page":"150","article-title":"Dietary Modifications in Patients With Non\u2010Inflammatory Bowel Disease Diarrhoea: A Summary of the Evidence and Practical Considerations","volume":"17","author":"Staudacher H. 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