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Probiotics prevent Hirschsprung's disease-associated enterocolitis: a prospective multicenter randomized controlled
Xiaolin Wang1, Zhi Li, Zhilin Xu
1Department of Pediatric Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Oral probiotics significantly reduced the incidence and severity of Hirschsprung's disease-associated enterocolitis (HAEC). This intervention also balanced T lymphocytes and modulated cytokine profiles, decreasing pro-inflammatory markers and increasing anti-inflammatory ones.
Area of Science:
- Gastroenterology
- Pediatric Surgery
- Immunology
Background:
- Enterocolitis (EC) is a severe postoperative complication of Hirschsprung's disease (HD).
- Probiotics may preserve intestinal mucosal integrity.
- The study hypothesized oral probiotics could mitigate Hirschsprung's disease-associated enterocolitis (HAEC).
Purpose of the Study:
- To evaluate the efficacy of oral probiotics in reducing HAEC incidence and severity.
- To assess the impact of probiotics on immune markers in HD patients.
Main Methods:
- A prospective, multicenter, randomized controlled trial was conducted.
- HD patients were randomized into control and probiotic groups.
- Probiotic intervention lasted 4 weeks, with HAEC incidence/severity monitored for 3 months. T lymphocyte subsets and cytokine levels (TNF-α, IFN-γ, IL-6, IL-10) were analyzed.
Main Results:
- The probiotic group showed a significantly lower incidence and severity of HAEC compared to the control group.
- Probiotics led to a balance in T lymphocyte subsets.
- Pro-inflammatory cytokines (TNF-α, IFN-γ, IL-6) decreased, while anti-inflammatory IL-10 increased in the probiotic group.
Conclusions:
- Oral probiotics effectively diminish the incidence and severity of HAEC.
- Probiotics modulate the immune response by balancing T lymphocytes and altering cytokine profiles.
- This suggests a potential therapeutic role for probiotics in managing HAEC.
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