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Efficacy of mast cell directed therapies in irritable bowel syndrome: a systematic review

D Coppens, M Kips, T Stiévenard, C Mertens, H De Schepper. Acta Gastroenterol Belg. 2024 Jan-Mar;87(1):15-27.

ReviewHumansWith polydatin (palmitoylethanolamide-polydatin was one of the therapies reviewed)

This study tested palmitoylethanolamide together with polydatin (palmitoylethanolamide-polydatin was one of the therapies reviewed). Its results cannot be assigned to palmitoylethanolamide alone. More combination studies.

Design
Review
Subjects
11 trials with 943 IBS patients and 197 controls
Dose used in the study
Not stated in the abstract
Duration
Not stated in the abstract
What was measured
Abdominal pain and changes in stool frequency or consistency after mast cell directed therapies compared with placebo or control.

What the authors reported

The review found:

  • From 1,384 citations, 11 trials were included: ten randomised controlled trials and one cohort study, only three at low risk of bias.
  • This limited evidence suggests an overall improvement in key symptoms after disodium cromoglycate, ebastine, ketotifen or palmitoylethanolamide-polydatin compared with controls.
  • The authors call for further high-quality research.

Limits of this study

A systematic review without meta-analysis; most included trials were at risk of bias. Results for PEA-polydatin are not separated out in the abstract. The authors declare no conflict of interest.

Source

PubMed 38431786 · doi:10.51821/87.1.12487

Entry checked against the abstract on PubMed on 2026-09-22. The dose shown is the dose the researchers used. It is not a recommendation. How to read this page.