2008
DOI: 10.1097/mcg.0b013e318169c44e
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Probiotics and Liver Disease

Abstract: Modulation of intestinal flora through the use of probiotics is an emerging therapeutic strategy in the management of chronic liver diseases. This article focuses on the pathophysiologic basis for using probiotics in liver disease and reviews the existing literature on the subject. The role of probiotics is examined in the following areas: a) prevention of infection, b) the hyperdynamic circulatory state of cirrhosis, c) hepatic encephalopathy, d) liver function, and e) nonalcoholic fatty liver disease.

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Cited by 44 publications
(17 citation statements)
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“…The administration of probiotics has been shown to ameliorate hepatic encephalopathy and neutrophil dysfunction in patients with cirrhosis , which is in accordance with diverse beneficial effects observed from other type of manipulations of gut flora in patients with liver disease . The operative mechanisms of probiotics and their effects on other complications of liver disease such as the circulatory dysfunction remain, however, largely unknown . Here, we show that the oral administration of the probiotic VSL#3 preparation is associated with the amelioration of portal hypertension and systemic circulatory disturbances in patients with cirrhosis and ascites.…”
Section: Discussionsupporting
confidence: 74%
“…The administration of probiotics has been shown to ameliorate hepatic encephalopathy and neutrophil dysfunction in patients with cirrhosis , which is in accordance with diverse beneficial effects observed from other type of manipulations of gut flora in patients with liver disease . The operative mechanisms of probiotics and their effects on other complications of liver disease such as the circulatory dysfunction remain, however, largely unknown . Here, we show that the oral administration of the probiotic VSL#3 preparation is associated with the amelioration of portal hypertension and systemic circulatory disturbances in patients with cirrhosis and ascites.…”
Section: Discussionsupporting
confidence: 74%
“…Indeed, this is mostly based on two major mechanisms, that is, the ability to augment the intestinal barrier function and to prevent the translocation of bacteria. 149 Both mechanisms represent the rationale for the use of probiotics to prevent major complications of liver cirrhosis such as the development of a hyperdynamic circulatory state or spontaneous bacterial peritonitis, with the former being the background for the establishment of portal hypertension. 150 While solid data …”
Section: Probiotics In Liver Diseases and Cancermentioning
confidence: 99%
“…They can prevent bacterial translocation by decreasing intestinal bacterial overgrowth and improving intestinal barrier and immune disturbances2021. However, previous data on the prevention of bacterial translocation with probiotics in rodents treated with CCl 4 are contradictory.…”
mentioning
confidence: 99%