The effect of oral α-galactosidase on intestinal gas production and gas-related symptoms

Michele Di Stefano, Emanuela Miceli, Samantha Gotti, Antonio Missanelli, Samanta Mazzocchi, Gino Roberto Corazza

Research output: Contribution to journalArticle

Abstract

Bloating, abdominal distention, and flatulence represent very frequent complaints in functional disorders but their pathophysiology and treatment are largely unknown. Patients frequently associate these symptoms with excessive intestinal gas and the reduction of gas production may represent an effective strategy. The aim was to evaluate the effect of α-galactosidase administration, in a randomized double-blind placebo-controlled protocol, on intestinal gas production and gas-related symptoms after a challenge test meal in healthy volunteers. Eight healthy volunteers ingested 300 or 1200 GalU of α-galactosidase or placebo during a test meal containing 420 g of cooked beans. Breath hydrogen excretion and occurrence of bloating, abdominal pain, discomfort, flatulence, and diarrhea were measured for 8 hr. The administration of 1200 GalU of α-galactosidase induced a significant reduction of both breath hydrogen excretion and severity of flatulence. A reduction in severity was apparent for all considered symptoms, but both 300 and 1200 GalU induced a significant reduction in the total symptom score. α-Galactosidase reduced gas production following a meal rich in fermentable carbohydrates and may be helpful in patients with gas-related symptoms.

Original languageEnglish
Pages (from-to)78-83
Number of pages6
JournalDigestive Diseases and Sciences
Volume52
Issue number1
DOIs
Publication statusPublished - Jan 2007

Keywords

  • α-Galactosidase
  • Bloating
  • Colonic fermentation
  • Functional bowel disorders
  • Intestinal gas production

ASJC Scopus subject areas

  • Gastroenterology

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