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From 2-5 May 2026, GI Nutrition Foundation attended Digestive Disease Week in Chicago, USA.
Here’s what’s new and interesting in diet and nutrition for IBD, IBS, celiac disease, and eosinophilic esophagitis from leading experts:
đź’ˇNutrition care for IBS is shifting from restricted diets to personalized, patient-centered interventions
âś… IBS is a diagnosis we can actively understand and treat
âś… Providers should help patients with IBS assess whether their symptoms are:
🔸an exaggerated physiologic response
🔸a food intolerance
🔸a result of a cause not related to foods or the digestive tract
âś… GI providers need to be good detectives to:
🔸Differentiate maladaptive from normal adaptive dietary restriction
🔸Know what red flags to look out for
🔸Ask the right questions to patients to identify and manage low appetite
💡It’s not just what you eat, but when you eat it
âś… Data from more than 15,000 participants showed that eating more than 25% of daily calories after 9 p.m. was linked to being 1.7 times more likely to experience constipation, diarrhea, and lower gut microbiome diversity
🗣️ Harika Dadigiri, MD: “Small, consistent habits, like maintaining a structured meal routine, may help promote more regular eating patterns and support digestive function over time”.
💡Cultural adaptation of diet for better outcomes of Crohn’s
✅ A microbiota-targeted and culturally adapted Mediterranean diet may be a feasible dietary approach for both patients with early Crohn’s disease and their family members from Israel and India
âś… A plant-based diet may produce favorable gut microbiome shifts in patients with ulcerative colitis, which support further study as an adjunct
đź’ˇMaking sense of gluten-related disorders
âś… In patients who do not have celiac disease but are sensitive to gluten, the likely cause is fructan, a type of FODMAP found in wheat (non-celiac wheat intolerance)
✅ A true refractory celiac disease is rare 👉 Most patients do not improve due to gluten contamination or other causes that can mimic celiac disease
âś… If poor education or an unbalanced gluten-free diet is achieved, eating disorders, psychological side effects, and deficiencies can occur in celiac disease
💡Towards less restrictive, “step-up” diets in eosinophilic esophagitis
âś… Shared decision-making should play a role in determining whether drugs or diet is the first-line treatment, with consideration of the severity of eosinophilic esophagitis
âś… Recent evidence favors starting with less restrictive diets to aid in the early identification of food triggers and shorten the diagnostic process
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