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Published on: January 27, 2019
Probiotic treatment of irritable bowel syndrome in children
U Martens1, P Enck, E Zieseniss
1Department of Internal Medicine, Psychosomatic Medicine and Psychotherapy, University Hospital Tübingen, Germany.
Insights
This study shows that Symbioflor 2 (SF2), a probiotic, effectively and safely treats irritable bowel-type symptoms (IBS) in children. The treatment significantly improved abdominal pain and stool frequency with no adverse events reported.
Area of Science:
- Pediatric Gastroenterology
- Microbiology
- Clinical Therapeutics
Background:
- Irritable bowel-type symptoms (IBS) in children present a therapeutic challenge due to limited options with favorable safety profiles.
- Existing treatments for pediatric IBS often have drawbacks, necessitating research into novel interventions.
Purpose of the Study:
- To evaluate the efficacy and tolerability of Symbioflor 2 (SF2) in treating functional bowel disorders of the IBS type in a pediatric population.
- To assess the impact of SF2 on key IBS symptoms including abdominal pain and altered stool frequency.
Main Methods:
- A treatment study involving 203 children (ages 4-18) diagnosed with IBS, categorized by predominant symptoms (diarrhea, constipation, alternating, or unspecific pain).
- Patients received varying daily doses of Symbioflor 2 (SF2), a probiotic containing Escherichia coli bacteria, for an average of 43 days.
- Dosage was adjusted based on age, with most younger children receiving 10 drops daily.
Main Results:
- Symbioflor 2 (SF2) was well-tolerated by all pediatric participants, with no adverse events observed.
- Significant improvements were noted in core IBS symptoms such as abdominal pain and stool frequency.
- Other associated symptoms like bloating, straining, and urge to defecate also showed marked improvement.
Conclusions:
- Symbioflor 2 (SF2) demonstrates significant efficacy and excellent tolerability for treating IBS in children and adolescents.
- These findings support the use of this probiotic compound as a valuable therapeutic option for pediatric IBS, complementing existing adult data.
Unlabelled:
Treatment of functional bowel disorders of irritable bowel-type (IBS) in children remains a difficult task because of a lack of drugs with low adverse event profile. We here report the results of a treatment study in 203 children (66 boys and 137 girls) age 4 to 18 years (mean: 10.5+/-4.5 years) with typical IBS symptoms with abdominal pain and either predominant diarrhea (n=50), constipation (n=56), alternating stool frequency (n=28) or unspecific pain (n=69). The average duration of symptoms prior to therapy was 175 days. Most (95%) patients up to age 11 were treated with a daily dose of 10 drops of Symbioflor 2 (SF2) (SymbioPharm, Herborn) (cells and autolysate of 1.5-4.5x10(7) CFU of bacteria of Escherichia coli type), in the elder children 77% received this dosage, while the remaining received a higher dose up to 30 drops/day. Treatment lasted 43 days on average.
Results:
All patients tolerated the treatment well and without adverse events. The key IBS symptoms (abdominal pain, stool frequency) as well as the other symptoms (bloating, mucous and blood in stool, need for straining at stools, urge to defecate) improved significantly during treatment. Global assessment of therapy by parents and doctors was altogether positive. In summary these data confirm efficacy and tolerability of this probiotic compound in children and adolescents and supplement published data of probiotic IBS therapy in adults.
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