Papers

Peer-reviewed
2011

Beneficial Effects of Probiotic Bifidobacterium and Galacto-Oligosaccharide in Patients with Ulcerative Colitis: A Randomized Controlled Study

DIGESTION
  • Hideki Ishikawa
  • ,
  • Satoshi Matsumoto
  • ,
  • Yuji Ohashi
  • ,
  • Akemi Imaoka
  • ,
  • Hiromi Setoyama
  • ,
  • Yoshinori Umesaki
  • ,
  • Ryuichiro Tanaka
  • ,
  • Toru Otani

Volume
84
Number
2
First page
128
Last page
133
Language
English
Publishing type
Research paper (scientific journal)
DOI
10.1159/000322977
Publisher
KARGER

Background/Aim: In previous studies, we described the beneficial effects of bifidobacteria-fermented milk in patients with ulcerative colitis (UC). Here, we examined the effects of a live Bifidobacterium breve strain Yakult, a probiotic contained in bifidobacteria-fermented milk, and galacto-oligosaccharide (GOS) as synbiotics in UC patients. Methods: Forty-one patients with mild to moderate UC were assigned to two groups; one group was treated with the synbiotics and the other was not (control). The treatment group ingested 1 g of the probiotic powder (10(9) CFU/g) three times a day, and 5.5 g of GOS once a day for one year. At the start and the end of this study, colonoscopic index and the amount of myeloperoxidase in a lavage solution were used as disease activity indices. Bacterial counts in the feces at the start and the end of this study were also examined. Results: After a one-year treatment with the synbiotics, the clinical status of the UC patients as assessed by colonoscopy, significantly improved. Furthermore, the amount of myeloperoxidase in the lavage also decreased in these patients after the synbiotic treatment. The synbiotics significantly reduced the fecal counts of Bacteroidaceae and fecal pH. Conclusion: Administration of live B. breve strain Yakult and GOS can improve the clinical condition of patients with UC. These results encouraged us to perform a large-scale randomized, placebo-controlled trial. Copyright (C) 2011 S. Karger AG, Basel

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Link information
DOI
https://doi.org/10.1159/000322977
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/21525768
Web of Science
https://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=JSTA_CEL&SrcApp=J_Gate_JST&DestLinkType=FullRecord&KeyUT=WOS:000294672400007&DestApp=WOS_CPL