Review Article

Carbohydrate Elimination or Adaptation Diet for Symptoms of Intestinal Discomfort in IBD: Rationales for “Gibsons’ Conundrum”

Table 1

List of poorly digested carbohydrates comprised of FODMAP and select prebiotics (*), as well as their respective sources. This is not a complete list, and other complex carbohydrates which have effects on bacteria are also included in FODMAP.

Molecular formCommon sources

Inulin (*)Onions, leeks, chicory, artichoke, wheat, banana
Oligofructose (*)Hydrolysis product of inulin
Short-chain fructo-oligosaccharide (*)Hydrolysis product of inulin
Trans galacto-oligosaccharides (*)Manufactured from lactose
Lactulose (*)Manufactured from lactose
Fructo-oligosaccharides (*)May be present in breast milk, formed from lactose
Isomalto-oligosaccharides (*)Present in foods, potential prebiotic
Lactose (*)Present in dairy products made from animal sources, prebiotic mostly in lactose maldigesters
PolyolsSugar alcohols (sorbitol, mannitol, xylitol, maltitol, and isomalt), cauliflower, avocado, mushrooms