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Cited by 405

The DOI matches its Crossref record; 38 of the 38 references it cites were found in a registry or an index.

Lactobacillus supplementation for diarrhoea related to chemotherapy of colorectal cancer: a randomised study

Open access
Österlund, P, Ruotsalainen, T, Korpela, R, Saxelin, M, Ollus, A, Valta, P, Kouri, M, Elomaa, I, Joensuu, H·2007·British Journal of Cancer

Abstract

5-Fluorouracil (5-FU)-based chemotherapy is frequently associated with diarrhoea. We compared two 5-FU-based regimens and the effect of Lactobacillus and fibre supplementation on treatment tolerability. Patients diagnosed with colorectal cancer (n=150) were randomly allocated to receive monthly 5-FU and leucovorin bolus injections (the Mayo regimen) or a bimonthly 5-FU bolus plus continuous infusion (the simplified de Gramont regimen) for 24 weeks as postoperative adjuvant therapy. On the basis of random allocation, the study participants did or did not receive Lactobacillus rhamnosus GG supplementation (1-2 x 10(10) per day) and fibre (11 g guar gum per day) during chemotherapy. Patients who received Lactobacillus had less grade 3 or 4 diarrhoea (22 vs 37%, P=0.027), reported less abdominal discomfort, needed less hospital care and had fewer chemotherapy dose reductions due to bowel toxicity. No Lactobacillus-related toxicity was detected. Guar gum supplementation had no influence on chemotherapy tolerability. The simplified de Gramont regimen was associated with fewer grade 3 or 4 adverse effects than the Mayo regimen (45 vs 89%), and with less diarrhoea. We conclude that Lactobacillus GG supplementation is well tolerated and may reduce the frequency of severe diarrhoea and abdominal discomfort related to 5-FU-based chemotherapy.

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Metadata

Authors
Österlund, P., Ruotsalainen, T., Korpela, R., Saxelin, M., Ollus, A., Valta, P., Kouri, M., Elomaa, I., & Joensuu, H.
Venue
British Journal of Cancer
Published
2007-09-25
Volume
97
Issue
8
Pages
1028-1034
ISSN
  • 0007-0920 (ISSN-L)
  • 1532-1827
OpenAlex
W2128822027
Cited by
405
References
38
FWCI
9.26
Type
journal article
Language
en
Open access
hybrid

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CoChat. (2026). Citation check: Lactobacillus supplementation for diarrhoea related to chemotherapy of colorectal cancer: a randomised study. https://app.cochat.ai/papers/10.1038/sj.bjc.6603990
The paper
Österlund, P., Ruotsalainen, T., Korpela, R., Saxelin, M., Ollus, A., Valta, P., Kouri, M., Elomaa, I., & Joensuu, H. (2007). Lactobacillus supplementation for diarrhoea related to chemotherapy of colorectal cancer: a randomised study. British Journal of Cancer. https://doi.org/10.1038/sj.bjc.6603990

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