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Clinically, patients with DGBI may present with meal\u2010related symptoms that progressively lead to altered food intake behaviors, resulting in subsequent weight loss and nutritional deficiencies. These patients often experience psychological distress and multi\u2010system co\u2010morbidities. This distinct subgroup can be referred to as DGBI\u2010induced altered food intake behavior (DGBI\u2010AFIB) and needs to be differentiated from the eating disorder defined in the Diagnostic and Statistical Manual of Mental Disorders, 5th edition: Avoidant\/Restrictive Food Intake Behavior.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>There is currently no expert consensus on the management of DGBI\u2010AFIB. To address this gap, a multidisciplinary, multi\u2010society expert panel employed a Delphi process to develop evidence\u2010based management guidelines for DGBI\u2010AFIB. The group formulated and evaluated 23 statements using the GRADE system. Experts agreed that a diagnosis of DGBI\u2010AFIB should be considered when gastrointestinal symptoms meet the Rome criteria for DGBI, are aggravated by food intake, and subsequently result in altered (reduced) food intake, leading to a significant (unintended) reduction in body weight. To establish a positive diagnosis of DGBI\u2010AFIB, relevant differential diagnoses need consideration, including organic causes\/eating disorders. A multidisciplinary team approach is key to management. Treatment must align with established DGBI principles and consider each patient's specific challenges. Enteral or parenteral feeding should only be pursued in patients with life\u2010threatening nutritional deficiencies after all oral nutrition approaches have failed. Future research is essential to elucidate the epidemiological characteristics and risk factors for DGBI\u2010AFIB, thereby enhancing long\u2010term management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/nmo.70337","type":"journal-article","created":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T05:10:32Z","timestamp":1778476232000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["A Clinical Practice Update for the Management of Patients With Disorders of Gut\u2010Brain Interaction and Altered Food Intake Behavior"],"prefix":"10.1111","volume":"38","author":[{"given":"Ayesha","family":"Shah","sequence":"first","affiliation":[{"name":"Department of Gastroenterology and Hepatology Princess Alexandra Hospital  Brisbane Queensland Australia"},{"name":"Australian Gastrointestinal Research Alliance and NHMRC CRE in Transforming Gut Health  Brisbane Australia"},{"name":"Faculty of Health, Medicine and Behavioural Sciences The University of Queensland  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas J.","family":"Talley","sequence":"additional","affiliation":[{"name":"Australian Gastrointestinal Research Alliance and NHMRC CRE in Transforming Gut Health  Brisbane Australia"},{"name":"College of Health, Medicine and Wellbeing The University of Newcastle  Newcastle New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon R.","family":"Knowles","sequence":"additional","affiliation":[{"name":"School of Health Sciences Swinburne University of Technology  Hawthorn Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kerith","family":"Duncanson","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology Princess Alexandra Hospital  Brisbane Queensland Australia"},{"name":"Australian Gastrointestinal Research Alliance and NHMRC CRE in Transforming Gut Health  Brisbane Australia"},{"name":"College of Health, Medicine and Wellbeing The University of Newcastle  Newcastle New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natasha","family":"Koloski","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology Princess Alexandra Hospital  Brisbane Queensland Australia"},{"name":"Australian Gastrointestinal Research Alliance and NHMRC CRE in Transforming Gut Health  Brisbane Australia"},{"name":"Faculty of Health, Medicine and Behavioural Sciences The University of Queensland  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason P.","family":"Connor","sequence":"additional","affiliation":[{"name":"Faculty of Health, Medicine and Behavioural Sciences The University of Queensland  Brisbane Queensland Australia"},{"name":"Alcohol and Drug Assessment Unit Princess Alexandra Hospital  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew S.","family":"Day","sequence":"additional","affiliation":[{"name":"Department of Paediatrics and Child Health University of Otago Christchurch  Christchurch New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Basil","family":"Almehdawy","sequence":"additional","affiliation":[{"name":"Faculty of Health, Medicine and Behavioural Sciences The University of Queensland  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chamara","family":"Basnayake","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology St Vincent's Hospital Melbourne  Melbourne Victoria Australia"},{"name":"Department of Medicine University of Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Burgell","sequence":"additional","affiliation":[{"name":"Bayside Health and Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharon","family":"Carey","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health University of Sydney  Sydney New South Wales Australia"},{"name":"Department of Nutrition &amp; 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