Comparative efficacy of <i>Bifidobacterium bifidum, Bifidobacterium longum, Bifidobacterium infantis, Lactobacillus rhamnosus</i> composition and prucalopride in treatment of constipation variant of irritable bowel syndrome

Aim of investigation. To estimate effect of probiotics and enterokinetic agents on severity of clinical symptoms, presence of bacterial overgrowth syndrome (BOS) and quality of life of patients with constipation variant of irritable bowel syndrome (IBS-C).Material and methods. Comparative analysis o...

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Main Authors: V. T. Ivashkin, O. M. Drapkina, A. A. Sheptulin, O. S. Shifrin, Ye. A. Poluektova, S. Yu. Kuchumova
Format: Article
Language:Russian
Published: Gastro LLC 2015-07-01
Series:Российский журнал гастроэнтерологии, гепатологии, колопроктологии
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Online Access:https://www.gastro-j.ru/jour/article/view/1009
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author V. T. Ivashkin
O. M. Drapkina
A. A. Sheptulin
O. S. Shifrin
Ye. A. Poluektova
S. Yu. Kuchumova
author_facet V. T. Ivashkin
O. M. Drapkina
A. A. Sheptulin
O. S. Shifrin
Ye. A. Poluektova
S. Yu. Kuchumova
author_sort V. T. Ivashkin
collection DOAJ
description Aim of investigation. To estimate effect of probiotics and enterokinetic agents on severity of clinical symptoms, presence of bacterial overgrowth syndrome (BOS) and quality of life of patients with constipation variant of irritable bowel syndrome (IBS-C).Material and methods. Comparative analysis of effect of probiotics, enterokinetic agents and placebo on dynamics of main clinical symptoms, intestinal microflora state and quality of life in IBS-C patients was carried out. Investigation of Florasan-D probiotic, composed of Bifidobacterium bifidum, Bifidobacterium longum, Bifidobacterium infantis, Lactobacillus rhamnosus, enterokinetic agent Resolor (prucalopride) and placebo was carried out in 50 patients with IBS-C, conforming Rome III criteria without organic diseases according to results of present investigation. Overall 8 men (16%) and 42 women (84%) with mean age of 35 years [33,7; 41,1 years] were investigated. Patients received probiotic Florasan-D 250 mg bid, placebo — in a similar mode; patients received Resolor 2 mg as a single-dose in the morning. Intensity of abdominal pain and meteorism were estimated by visual analog scale (VAS), stool consistency — by Bristol stool form scale, frequency of defecation — by calculation of number of defecations for every week of treatment. BOS was assessed by lactulose hydrogen breath test, quality of life — by The Short Form-36 (SF-36) questionnaire. Treatment was carried out for 28 days. Results. In the group of IBS-C patients efficacy of Florasan-D probiotic in relation to basic symptoms reduction, improvement of quality of life, normalization of hydrogen breath test scores was comparable to those at Resolor application. Conclusions. Probiotic of Florasan-D and enterokinetic Resolor at application in patients with IBS-C for 4 wks possess similar efficacy in main symptom reduction, relief of BOS, improvement of quality of life. Florasan-D is better tolerated by patients due to gradual increase of stool frequency during treatment course.
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spelling doaj-art-3d720b75de3741fea69910ed920ddf7c2025-02-10T16:14:34ZrusGastro LLCРоссийский журнал гастроэнтерологии, гепатологии, колопроктологии1382-43762658-66732015-07-012532132619Comparative efficacy of <i>Bifidobacterium bifidum, Bifidobacterium longum, Bifidobacterium infantis, Lactobacillus rhamnosus</i> composition and prucalopride in treatment of constipation variant of irritable bowel syndromeV. T. Ivashkin0O. M. Drapkina1A. A. Sheptulin2O. S. Shifrin3Ye. A. Poluektova4S. Yu. Kuchumova5State educational government-financed institution of higher professional education «Sechenov First Moscow state medical university». Ministry of Healthcare of the Russian FederationState educational government-financed institution of higher professional education «Sechenov First Moscow state medical university». Ministry of Healthcare of the Russian FederationState educational government-financed institution of higher professional education «Sechenov First Moscow state medical university». Ministry of Healthcare of the Russian FederationState educational government-financed institution of higher professional education «Sechenov First Moscow state medical university». Ministry of Healthcare of the Russian FederationState educational government-financed institution of higher professional education «Sechenov First Moscow state medical university». Ministry of Healthcare of the Russian FederationState educational government-financed institution of higher professional education «Sechenov First Moscow state medical university». Ministry of Healthcare of the Russian FederationAim of investigation. To estimate effect of probiotics and enterokinetic agents on severity of clinical symptoms, presence of bacterial overgrowth syndrome (BOS) and quality of life of patients with constipation variant of irritable bowel syndrome (IBS-C).Material and methods. Comparative analysis of effect of probiotics, enterokinetic agents and placebo on dynamics of main clinical symptoms, intestinal microflora state and quality of life in IBS-C patients was carried out. Investigation of Florasan-D probiotic, composed of Bifidobacterium bifidum, Bifidobacterium longum, Bifidobacterium infantis, Lactobacillus rhamnosus, enterokinetic agent Resolor (prucalopride) and placebo was carried out in 50 patients with IBS-C, conforming Rome III criteria without organic diseases according to results of present investigation. Overall 8 men (16%) and 42 women (84%) with mean age of 35 years [33,7; 41,1 years] were investigated. Patients received probiotic Florasan-D 250 mg bid, placebo — in a similar mode; patients received Resolor 2 mg as a single-dose in the morning. Intensity of abdominal pain and meteorism were estimated by visual analog scale (VAS), stool consistency — by Bristol stool form scale, frequency of defecation — by calculation of number of defecations for every week of treatment. BOS was assessed by lactulose hydrogen breath test, quality of life — by The Short Form-36 (SF-36) questionnaire. Treatment was carried out for 28 days. Results. In the group of IBS-C patients efficacy of Florasan-D probiotic in relation to basic symptoms reduction, improvement of quality of life, normalization of hydrogen breath test scores was comparable to those at Resolor application. Conclusions. Probiotic of Florasan-D and enterokinetic Resolor at application in patients with IBS-C for 4 wks possess similar efficacy in main symptom reduction, relief of BOS, improvement of quality of life. Florasan-D is better tolerated by patients due to gradual increase of stool frequency during treatment course.https://www.gastro-j.ru/jour/article/view/1009irritable bowel syndromeintestinal microbiomebacterial overgrowth syndromeprobioticsflorasan-dresolor
spellingShingle V. T. Ivashkin
O. M. Drapkina
A. A. Sheptulin
O. S. Shifrin
Ye. A. Poluektova
S. Yu. Kuchumova
Comparative efficacy of <i>Bifidobacterium bifidum, Bifidobacterium longum, Bifidobacterium infantis, Lactobacillus rhamnosus</i> composition and prucalopride in treatment of constipation variant of irritable bowel syndrome
Российский журнал гастроэнтерологии, гепатологии, колопроктологии
irritable bowel syndrome
intestinal microbiome
bacterial overgrowth syndrome
probiotics
florasan-d
resolor
title Comparative efficacy of <i>Bifidobacterium bifidum, Bifidobacterium longum, Bifidobacterium infantis, Lactobacillus rhamnosus</i> composition and prucalopride in treatment of constipation variant of irritable bowel syndrome
title_full Comparative efficacy of <i>Bifidobacterium bifidum, Bifidobacterium longum, Bifidobacterium infantis, Lactobacillus rhamnosus</i> composition and prucalopride in treatment of constipation variant of irritable bowel syndrome
title_fullStr Comparative efficacy of <i>Bifidobacterium bifidum, Bifidobacterium longum, Bifidobacterium infantis, Lactobacillus rhamnosus</i> composition and prucalopride in treatment of constipation variant of irritable bowel syndrome
title_full_unstemmed Comparative efficacy of <i>Bifidobacterium bifidum, Bifidobacterium longum, Bifidobacterium infantis, Lactobacillus rhamnosus</i> composition and prucalopride in treatment of constipation variant of irritable bowel syndrome
title_short Comparative efficacy of <i>Bifidobacterium bifidum, Bifidobacterium longum, Bifidobacterium infantis, Lactobacillus rhamnosus</i> composition and prucalopride in treatment of constipation variant of irritable bowel syndrome
title_sort comparative efficacy of i bifidobacterium bifidum bifidobacterium longum bifidobacterium infantis lactobacillus rhamnosus i composition and prucalopride in treatment of constipation variant of irritable bowel syndrome
topic irritable bowel syndrome
intestinal microbiome
bacterial overgrowth syndrome
probiotics
florasan-d
resolor
url https://www.gastro-j.ru/jour/article/view/1009
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