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Probiotics and Helicobacter pylori.
1Division of Gastroenterology and Hepatology, CHUV BH10 1011 Lausanne, Switzerland.
Best Practice & Research. Clinical Gastroenterology
|September 26, 2003
Summary
Probiotics can help manage Helicobacter pylori (H. pylori) infections by inhibiting bacterial growth and reducing inflammation. They may also improve eradication rates and lessen side effects during treatment.
Area of Science:
- Microbiology
- Gastroenterology
- Immunology
Background:
- Helicobacter pylori (H. pylori) is a significant cause of gastritis and peptic ulcers.
- Probiotics are increasingly recognized for their potential to modulate the gut microbiome.
- The interaction between probiotics and H. pylori colonization is an area of active research.
Purpose of the Study:
- To review the evidence supporting the interaction between probiotics and H. pylori.
- To explore the mechanisms by which probiotics affect H. pylori.
- To assess the impact of probiotics on H. pylori eradication and treatment side effects.
Main Methods:
- Literature review of studies investigating probiotic effects on H. pylori.
- Analysis of data on lactic acid production, bacteriocin release, and antibiotic secretion by probiotics.
- Examination of evidence for probiotic interference with H. pylori adhesion and H. pylori-induced gastritis.
- Review of clinical trials assessing probiotic influence on H. pylori eradication rates and associated side effects.
Main Results:
- Probiotics demonstrate multiple mechanisms to inhibit H. pylori, including acid production and bacteriocin secretion.
- Probiotics can interfere with H. pylori adhesion to gastric epithelial cells.
- Evidence suggests probiotics can attenuate H. pylori-induced gastritis.
- Probiotics show potential in improving H. pylori eradication rates and reducing antibiotic-associated gastrointestinal side effects.
Conclusions:
- Probiotics offer a promising adjunctive strategy for managing H. pylori infections.
- Further research is warranted to optimize probiotic use in H. pylori eradication therapy.
- Probiotics may play a role in mitigating treatment-related adverse events.