Motility Disorders Irritable Bowel Syndrome
responsible for the phenotype of the PR in an individual, has to remain open at this stage, but will be subject to future research.
Conclusion
The PR in functional gastrointestinal diseases is a significant confounder of the assessment of drug efficacy in clinical trials. However, as in many conditions in medicine, it is an effective component in the reduction of human suffering, and insights into its mechanisms enhance ‘active’ treatments and open up new vistas for maximizing medical success. The psychobiologic basis of the PR is the subject of ongoing clinical research. n
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Paul Enck, PhD, is Director of Research in the Department of Psychosomatic Medicine and Psychotherapy at University Hospital Tübingen. His main interests are the psychophysiology and neurobiology of the placebo response, of eating and food intake and its disorders, of nausea and vomiting, and of gut functions in health and disease, including functional and inflammatory bowel disorders. He has published more than 130 original papers in peer-reviewed journals and
more than 200 book chapters and review articles. He is a Board Member/Treasurer of the European Society of Neurogastroenterology and Motility.
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