NUTRITION: Edited by Eamonn M.M. QuigleyDietary interventions and irritable bowel syndrome – what really works?Surdea-Blaga, Teodoraa; Cozma-Petrut, Anamariab; Dumitraşcu, Dan LucianaAuthor Information a2nd Medical Department bDepartment of Bromatology, Hygiene, Nutrition, ‘Iuliu Haţieganu’ University of Medicine and Pharmacy, Cluj-Napoca, Romania Correspondence to Anamaria Cozma-Petrut, PhD, Pharm, Department of Bromatology, Hygiene, Nutrition, ‘Iuliu Haţieganu’ University of Medicine and Pharmacy, 6 Louis Pasteur Street, 400349 Cluj-Napoca, Romania. Tel: +40 745 693 208; e-mail: [email protected] Current Opinion in Gastroenterology: March 2021 - Volume 37 - Issue 2 - p 152-157 doi: 10.1097/MOG.0000000000000706 Buy Metrics Abstract Purpose of review The review examines the latest research on the use of dietary interventions in the management of irritable bowel syndrome (IBS) in order to understand what is the evidence supporting the efficacy of a dietary approach in this disorder. Recent findings A general dietary advice should be offered to all IBS patients. Psyllium supplementation is recommended in IBS with both constipation and diarrhea predominance. There is increasing evidence showing the beneficial effects of a low fermentable oligo-, di-, monosaccharides, and polyols (FODMAP) diet (LFD) on IBS symptoms. FODMAPs that are well tolerated should be reintroduced in daily diet, to increase acceptability of the diet, and limit potentially harmful effects. The benefits observed with the gluten-free diet seem determined by the reduction of FODMAPs rather than gluten. Modulation of gut microbiota using probiotics shows promising results, but there are unanswered questions regarding the optimal strains, dose and duration of treatment. Additional evidence is also needed for the role of prebiotics and synbiotics in IBS. Summary Food is both trigger of IBS symptoms and therapeutic tool. Recent studies demonstrated the beneficial effects of LFD on symptom control, as well as the role of probiotics, which seem to contribute to gut health and function. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.