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Probiotics, the Immune Response and Acute Appendicitis: A Review
Carmine Petruzziello1, Angela Saviano2, Veronica Ojetti1,2,3
1Emergency Department, Ospedale San Carlo di Nancy-GVM Care & Research, 00165 Rome, Italy.
Insights
Probiotics show promise as an add-on treatment for acute appendicitis, potentially improving patient health. Further research is needed to understand their role in the immunological response and long-term benefits.
Area of Science:
- Gastroenterology
- Immunology
- Microbiology
Background:
- Acute appendicitis is a frequent cause of emergency department visits, particularly affecting younger populations.
- Appendectomy has been the standard treatment, but non-surgical options are emerging for uncomplicated cases.
- Emerging research explores probiotics as a complementary therapy for acute appendicitis.
Purpose of the Study:
- To review clinical studies on probiotics in acute appendicitis.
- To analyze the impact of probiotics on the immunological response.
- To discuss limitations and future research directions.
Main Methods:
- Systematic review of clinical trials.
- Analysis of immunological markers and patient outcomes.
- Synthesis of existing literature on probiotic adjunctive therapy.
Main Results:
- Preliminary studies suggest potential health benefits of probiotics.
- Probiotics may modulate the immune response in acute appendicitis.
- Evidence is still developing, requiring further investigation.
Conclusions:
- Probiotics represent a potential adjunctive therapy for acute appendicitis.
- Further research is necessary to confirm efficacy and optimal use.
- Understanding the immunological mechanisms is key for future applications.
Abstract:
Acute appendicitis is a common reason for admission to the Emergency Department (ED). It affects almost 70% of people under 30 years of age and 10% over 60 years of age. Its diagnosis includes the combination of clinical signs, laboratory tests and imaging. For years, surgical appendectomy has been the first-line therapy for acute appendicitis, but currently the management has shown some changes, in particular in patients with uncomplicated appendicitis. Recent studies have investigated the use of probiotics as an adjunctive therapy with promising results in conferring health benefits to patients with acute appendicitis. The aim of our review is to summarize the results of clinical studies about probiotics and the immunological response in acute appendicitis, discussing the limitations and future directions of this research.
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