There are studies in the field of Osteopathy evaluating the efficacy of this approach in different intestinal dysfunctions and diseases. Da Silva et al demonstrated the usefulness of increasing the pressure of the lower esophageal sphincter in the osteopathic approach in patients with gastroesophageal reflux. Attali et al suggested that visceral osteopathy improves short and long term bloating and rectal sensitivity in patients with irritable bowel syndrome. Florance et al reported improvements in quality of life and symptomatic improvement in patients with irritable colon with a pilot study and Piche et al showed reduced severity of symptoms associated with irritable bowel in patients with Crohn's disease in remission. The positive effect of osteopathic treatment in the management of symptoms caused by irritable bowel syndrome was confirmed in a couple of systematic reviews recently published.