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As a result of the nature of IBS, it is hard to predict treatment efficacy as all individuals respond differently, and thus multidisciplinary treatment has become increasingly of interest as it targets multiple aspects of IBS at the same time. Here, we aim to review the literature of both multidisciplinary and single\u2010discipline therapy for IBS. Ovid MEDLINE was utilised with a systematic search to find relevant randomised controlled trials. The population included adults with a Rome diagnosis of IBS and an intervention that was either multidisciplinary care, diet, psychotherapy, gut\u2010directed hypnotherapy (GDH) or physiotherapy. Multidisciplinary care studies found an overall significant improvement, while dietary treatment was varied. A low fermentable oligosaccharides, disaccharides, monosaccharides and polyols diet was the only one to improve symptoms, while gluten\u2010free and fibre diets had mixed evidence for their efficacy. Novel diets, including a tritordeum\u2010based diet and low tryptophan diet, significantly improved symptoms. Cognitive behavioural therapy was found to be efficacious when compared to controls, as was psychoeducation. GDH was also found to be efficacious, but 83.3% of studies examined a refractory IBS population. There is a lack of literature looking at how multidisciplinary care and different combinations of disciplines work to treat those with IBS in secondary care. Further studies are required for a greater understanding of how multidisciplinary care may be utilised to better manage IBS.<\/jats:p>","DOI":"10.1111\/imj.16586","type":"journal-article","created":{"date-parts":[[2024,11,29]],"date-time":"2024-11-29T08:58:42Z","timestamp":1732870722000},"page":"186-199","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Current state of the non\u2010pharmacological management of irritable bowel syndrome: an up\u2010to\u2010date review of the literature"],"prefix":"10.1111","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4262-8395","authenticated-orcid":false,"given":"Rohan","family":"Patel","sequence":"first","affiliation":[{"name":"Department of Medicine University of Melbourne  Melbourne Victoria 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