The DOI matches its Crossref record; 18 of the 18 references it cites were found in a registry or an index.
Ineffectiveness of Lactobacillus GG as an adjunct to lactulose for the treatment of constipation in children: A double-blind, placebo-controlled randomized trial
Abstract
Objective To determine if Lactobacillus GG (LGG) is an effective adjunct to lactulose for treating constipation in children.Study design Eighty-four children (2-16 years of age) with constipation (<3 spontaneous bowel movements [BMs] per week for at least 12 weeks) were enrolled in a double-blind, randomized placebo-controlled trial in which they received 1 mL/kg/day of 70% lactulose plus 10 9 colony-forming units (CFU) of LGG (experimental group, n = 43) or a placebo (control group, n = 41) orally twice daily for 12 weeks. The primary outcome measure was treatment success, and analyses were performed on an intention-to-treat basis.Results Treatment success, defined as >or=3 spontaneous BMs per week with no fecal soiling, was similar in the control and experimental groups at 12 weeks (28/41 [68%] vs 31/43 [72%], respectively; P = .7) and at 24 weeks (27/41 [65%] vs 27/42 [64%], respectively; P = 1.0]. Groups also did not differ in their mean number of spontaneous BMs per week or episodes of fecal soiling per week at 4, 8, and 12 weeks. Adverse events and overall tolerance did not differ between groups.Conclusion LGG, as dosed in this study, was not an effective adjunct to lactulose in treating constipation in children.
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“Two other studies [18,19] showed no evidence of improvement with constipated children using probiotics.”
Citations
Cites
Scientific Concepts of Functional Foods in Europe Consensus Document
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Salminen, S. (1993) · Medical Entomology and Zoology · Cited by 659
The coming of age of probiotics
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Constipation in Infants and Children: Evaluation and Treatment
Baker, S. S., Liptak, G. S., Colletti, R. B., Croffie, J. M. B., Lorenzo, C. D., Ector, W. L., & Nurko, S. (1999) · Journal of Pediatric Gastroenterology and Nutrition · doi:10.1097/00005176-199911000-00029 · Cited by 433
Chronic constipation in children
Loening-Baucke, V. A. (1993) · Gastroenterology · doi:10.1016/0016-5085(93)90166-a · Cited by 343
Koebnick, C., Wagner, I., Leitzmann, P., Stern, U., & Zunft, H. F. (2003) · Canadian Journal of Gastroenterology · doi:10.1155/2003/654907 · Cited by 288
Children With Encopresis: A Descriptive Analysis
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The intestinal ecosystem in chronic functional constipation
Zoppi, G., Cinquetti, M., Luciano, A., Benini, A., Muner, A., & Minelli, E. B. (1998) · Acta Paediatrica · doi:10.1111/j.1651-2227.1998.tb01547.x · Cited by 169
Research works printed but not linked: 2
- Niemi, 2001, Effects of fiber-rich rye bread and yoghurt with Lactobacillus GG on bowel movement, Am J Clin Nutr, 73, 490S
- Hosoda, 1998, Effects of fermented milk with Lactobacillus rhamnosus GG strain administration on defecation, putrefactive metabolites and fecal microflora of healthy volunteers, J Nutritional Food, 1, 1
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Probiotics and Prebiotics in Pediatrics
Thomas, D. W., & Greer, F. R. (2010) · PEDIATRICS · doi:10.1542/peds.2010-2548 · Cited by 432
Structural changes in the gut microbiome of constipated patients
Zhu, L., Liu, W., Alkhouri, R., Baker, R. D., Bard, J. E., Quigley, E. M., & Baker, S. S. (2014) · Physiological Genomics · doi:10.1152/physiolgenomics.00082.2014 · Cited by 381
Gut Microbiota and Chronic Constipation: A Review and Update
Ohkusa, T., Koido, S., Nishikawa, Y., & Sato, N. (2019) · Frontiers in Medicine · doi:10.3389/fmed.2019.00019 · Cited by 364
Snydman, D. R. (2008) · Clinical Infectious Diseases · doi:10.1086/523331 · Cited by 336
Dimidi, E., Christodoulides, S., Fragkos, K. C., Scott, S. M., & Whelan, K. (2014) · The American Journal of Clinical Nutrition · doi:10.3945/ajcn.114.089151 · Cited by 316
“In addition, a small number of studies were undertaken in children with functional constipation, with discordant results reported for the impact of probiotics on symptoms (62) and stool frequency (63).”
Result
Metadata
- Authors
- Banaszkiewicz, A., & Szajewska, H.
- Affiliations
- Medical University of Warsaw (PL)
- Corresponding author
- Szajewska, Hania
- Venue
- The Journal of Pediatrics
- Publisher
- Elsevier BV
- Published
- 2005-03
- Volume
- 146
- Issue
- 3
- Pages
- 364-369
- ISSN
- 0022-3476 (ISSN-L)
- OpenAlex
- W2076373003
- Cited by
- 150
- References
- 18
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 6 · 2023: 3 · 2022: 10 · 2021: 4 · 2020: 4 · 2019: 7 · 2018: 10 · 2017: 5 · 2016: 1 · 2015: 6 · 2014: 14 · 2013: 10 · 2012: 3
- FWCI
- 6.12
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Pediatrics (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Life Sciences › Agricultural and Biological Sciences › Food Science › Probiotics and Fermented Foods
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Keywords
- Lactobacillus rhamnosus GG, lactulose, pediatric constipation, probiotics, adjunctive therapy, fecal soiling, spontaneous bowel movements, treatment efficacy
- MeSH terms
- Adolescent, Algorithms, Child, Child, Preschool, Constipation, Defecation, Double-Blind Method, Gastrointestinal Agents, Humans, Lactobacillus, Lactulose, Treatment Outcome, Probiotics
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