关键词: Bifidobacterium Clostridium difficile Colitis ulcerosa Colitis, Ulcerative Constipation Crohn disease Diarrea Diarrhea Enfermedad de Crohn Estreñimiento Gastrointestinal diseases Helicobacter pylori Irritable bowel syndrome Lactobacillus Pouchitis Probiotics Probióticos Reservoritis Síndrome del intestino irritable

Mesh : Adult Clinical Trials as Topic Cytokines / metabolism Diarrhea / prevention & control therapy Gastrointestinal Diseases / prevention & control therapy Gastrointestinal Microbiome Helicobacter Infections / therapy Helicobacter pylori Humans Inflammatory Bowel Diseases / therapy Irritable Bowel Syndrome / therapy Probiotics / therapeutic use Treatment Outcome

来  源:   DOI:10.1016/j.gastrohep.2016.12.003   PDF(Sci-hub)

Abstract:
BACKGROUND: Probiotics may act as biological agents that modify the intestinal microbiota and certain cytokine profiles, which can lead to an improvement in certain gastrointestinal diseases.
OBJECTIVE: To conduct a review of the evidence of the role of probiotics in certain gastrointestinal diseases in adults.
METHODS: Review conducted using appropriate descriptors, filters and limits in the PubMed database (MEDLINE).
METHODS: The MeSH terms used were Probiotics [in the title] AND Gastrointestinal Diseases, with the following limits or filters: Types of study: Systematic Reviews, Meta-Analysis, Guideline, Practice Guideline, Consensus Development Conference (and Consensus Development Conference NIH), Randomized Controlled Trial, Controlled Clinical Trial and Clinical Trial; age: adults (19 or older); language: English and Spanish; in humans, and with at least one abstract.
METHODS: Full texts of all the Systematic Reviews and meta-analyses directly related to the review\'s objective were obtained, as well as the Randomised Controlled Trials of the studies that were considered relevant and of sufficient quality for this review.
RESULTS: Certain probiotics, different for each process, have proven to be effective and beneficial in cases of acute infectious diarrhoea, antibiotic-associated diarrhoea, Clostridium difficile-associated diarrhoea, pouchitis and Helicobacter pylori infection eradication.
CONCLUSIONS: Although some probiotics have not demonstrated any benefit, there are certain gastrointestinal diseases in which the use of probiotics, true biological agents, can be recommended.
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