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Randomised clinical trial: the effects of perioperative probiotic treatment on barrier function and post‐operative infectious complications in colorectal cancer surgery – a double‐blind study

Liu, Z., Qin, H., Yang, Z., Xia, Y., Liu, W., Yang, J., Jiang, Y., Zhang, H., Yang, Z., Wang, Y., Zheng, Q.·2011·Alimentary Pharmacology & Therapeutics

Abstract

Aliment Pharmacol Ther 2011; 33: 50–63 Summary: Background Infection following abdominal operation remains a major factor affecting the morbidity of patients after surgery. Aim To determine the effects of perioperative administration of probiotics on the gut barrier function and the surgical outcome in patients undergoing elective colorectal surgery. Methods One hundred patients with colorectal carcinoma were randomly divided into the control group (n = 50) and the probiotics group (n = 50). The probiotics were given orally for 6 days preoperatively and 10 days post‐operatively. Outcomes were measured by bacterial translocation, gut permeability, the effect on the faecal microbiota, and the clinical outcomes such as infectious‐related complications and gut defecation function. Results Compared with the control group, probiotics group had increased transepithelial resistance (P < 0.05), reduced transmucosal permeation of horseradish peroxidase and lactulose/mannitol ratio, reduced bacterial translocation (P < 0.05), decreased ileal‐bile acid binding protein (P < 0.05) and positive rate of blood bacterial DNA (P < 0.05) and an enhanced mucosal tight junction protein expression. They had decreased blood enteropathogenic bacteria and increased faecal bacterial variety. The post‐operative recovery of peristalsis, incidence of diarrhoea, and infectious‐related complications were also improved. Conclusion Probiotics can improve the integrity of gut mucosal barrier by benefiting the faecal microbiota, and decreasing infectious complications in patients with colorectal cancer undergoing colorectomy.

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Metadata

Authors
Liu, Z., Qin, H., Yang, Z., Xia, Y., Liu, W., Yang, J., Jiang, Y., Zhang, H., Yang, Z., Wang, Y., & Zheng, Q.
Venue
Alimentary Pharmacology & Therapeutics
Publisher
Wiley
Published
2010-10-25
Volume
33
Issue
1
Pages
50-63
ISSN
  • 0269-2813 (ISSN-L)
  • 1365-2036
OpenAlex
W2110214819
Cited by
300
References
43
FWCI
11.83
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Randomised clinical trial: the effects of perioperative probiotic treatment on barrier function and post‐operative infectious complications in colorectal cancer surgery – a double‐blind study. https://app.cochat.ai/papers/10.1111/j.1365-2036.2010.04492.x
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Liu, Z., Qin, H., Yang, Z., Xia, Y., Liu, W., Yang, J., Jiang, Y., Zhang, H., Yang, Z., Wang, Y., & Zheng, Q. (2011). Randomised clinical trial: the effects of perioperative probiotic treatment on barrier function and post‐operative infectious complications in colorectal cancer surgery – a double‐blind study. Alimentary Pharmacology & Therapeutics. https://doi.org/10.1111/j.1365-2036.2010.04492.x

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.