Cited by 177Liver Disease and TransplantationGastrointestinal motility and disordersGut microbiota and health

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Effect of cisapride on intestinal bacterial overgrowth and bacterial translocation in cirrhosis

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Pardo, Albert, Bartolí, Ramon, Lorenzo-Zúñiga, Vicente, Planas, Ramon, Viñado, Belén, Riba, Joan, Cabré, Eduard, Santos, Justiniano, Luque, Teresa, Ausina, Vicenç, Gassull, Miguel A.·2000·Hepatology

DOI 10.1053/he.2000.5746

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Abstract

Deranged intestinal motility, which occurs in cirrhosis, may facilitate the development of intestinal bacterial overgrowth (IBO), which can lead to bacterial translocation (BT). To assess the effect of cisapride on IBO and BT in cirrhosis, cirrhotic rats received cisapride or a placebo for 7 days, and measurements of jejunal bacterial content and BT studies were performed. In addition, jejunal fluid from 46 cirrhotic patients was obtained for quantitative bacterial culture. Those patients in whom gram-negative IBO was detected were randomized to receive or not to receive cisapride (20 mg twice per day) for 1 week. Cisapride significantly reduced IBO in cirrhotic rats. In addition, no BT was documented in treated animals, whereas it occurred in 40% in nontreated cirrhotic rats. Total IBO was documented in 23 of 46 cirrhotic patients, which was caused by gram-negative organisms in 10 cases. Orocecal transit time (OCT) significantly decreased after cisapride therapy, and was associated with the abolishment of bacterial overgrowth caused by gram-negative organisms in 4 out of 5 treated patients, whereas it persisted in nontreated cases. Cisapride administration to cirrhotic rats resulted in a reduction of the IBO, which is associated with a marked decrease in BT. On the other hand, cisapride facilitates the abolition of IBO caused by gram-negative organisms in cirrhotic patients.

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Authors: Pardo, A., Bartolí, R., Lorenzo-Zúñiga, V., Planas, R., Viñado, B., Riba, J., Cabré, E., Santos, J., Luque, T., Ausina, V., & Gassull, M. A.
Affiliations: Hospital Universitari Germans Trias i Pujol (ES)
ORCID: Pardo, Albert
Viñado, Belén
Cabré, Eduard
Ausina, Vicenç
Venue: Hepatology
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2000-04
Volume: 31
Issue: 4
Pages: 858-863
ISSN: 0270-9139 (ISSN-L)
DOI: 10.1053/he.2000.5746
OpenAlex: W2013027212
Cited by: 177
References: 42
Citations by year: 2026: 2 · 2025: 3 · 2024: 2 · 2023: 1 · 2022: 5 · 2021: 2 · 2020: 3 · 2019: 9 · 2018: 6 · 2017: 7 · 2016: 10 · 2015: 8 · 2014: 12 · 2013: 2 · 2012: 7
FWCI: 5.83
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: doi.wiley.com/10.1002/tdm_license_1.1 (tdm, 5631 d)
Locations: Hepatology (publishedVersion)
PubMed (publishedVersion)
Funders: American Gastroenterological Association
Topics: Health Sciences › Medicine › Hepatology › Liver Disease and Transplantation
Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
Keywords: cisapride, intestinal bacterial overgrowth, bacterial translocation, liver cirrhosis, intestinal motility, Gram-negative bacteria, orocecal transit time
MeSH terms: Adolescent, Adult, Aged, Animals, Bacteria, Female, Gastrointestinal Agents, Humans, Intestines, Liver Cirrhosis, Liver Cirrhosis, Experimental, Male, Middle Aged, Pilot Projects, Rats, Sprague-Dawley, Bacterial Translocation, Cisapride, Rats

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Effect of cisapride on intestinal bacterial overgrowth and bacterial translocation in cirrhosis

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