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The low\u2010FODMAP diet, on the other hand, has efficacy similar to that seen in patients with IBS in three unblinded or observational studies of IBD cohorts who had well\u2010controlled inflammatory disease and in one small randomized cross\u2010over study. FODMAP intake by patients with IBD is not elevated, and, in one study, fructan intakes were lower in patients with Crohn's disease than in controls. There is no clear relationship between the level of FODMAP intake and intestinal inflammation. The risk of compromising nutritional status with a restrictive diet must be seriously considered especially as under\u2010nutrition is already common in this patient population. The effects of FODMAPs on the gut microbiota of patients with Crohn's disease mimic that in IBS, with a balance between prebiosis from the addition of FODMAPs and loss of prebiosis from their reduction. As undernutrition is common in IBD, the use of restrictive diets should be supervised by a dietitian. Thus, low\u2010FODMAP diet is a viable option for IBS\u2010like symptoms but should be carefully supervised to mitigate risk.<\/jats:p>","DOI":"10.1111\/jgh.13695","type":"journal-article","created":{"date-parts":[[2017,2,28]],"date-time":"2017-02-28T10:21:15Z","timestamp":1488277275000},"page":"40-42","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":112,"title":["Use of the low\u2010FODMAP diet in inflammatory bowel disease"],"prefix":"10.1111","volume":"32","author":[{"given":"Peter R","family":"Gibson","sequence":"first","affiliation":[{"name":"Department of Gastroenterology Alfred Hospital  Melbourne Victoria Australia"},{"name":"Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,2,28]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/ajg.2012.260"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2002.05475.x"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2036.2008.03754.x"},{"issue":"105","key":"e_1_2_5_5_1","first-page":"1789","article-title":"Irritable bowel syndrome\u2010type symptoms in patients with inflammatory bowel disease: a real association or reflection of occult inflammation?","volume":"2010","author":"Keohane J","year":"1788","journal-title":"Am. 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