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Meta-analysis: Lactobacillus rhamnosus GG for abdominal pain-related functional gastrointestinal disorders in childhood: Meta-analysis: Lactobacillus GG and abdominal pain-related functional disorders
Open accessAbstract
BACKGROUND: A lack of reliable treatments for abdominal pain-related functional gastrointestinal disorders prompts interest in new therapies. AIM: To evaluate systematically the effect of Lactobacillus rhamnosus GG (LGG) for treating abdominal pain-related functional gastrointestinal disorders in children. METHODS: MEDLINE, EMBASE, CINAHL, the Cochrane Library, trial registries and proceedings of major meetings were searched for randomised controlled trials (RCTs) evaluating LGG supplementation in children with abdominal pain-related functional gastrointestinal disorders based on the Rome II or Rome III criteria. Risk of bias was assessed for generation of the allocation sequence, allocation concealment, blinding and follow-up. RESULTS: Compared with placebo, LGG supplementation was associated with a significantly higher rate of treatment responders (defined as no pain or a decrease in pain intensity) in the overall population with abdominal pain-related functional gastrointestinal disorders (three RCTs, n = 290; risk ratio, RR 1.31, 95% CI 1.08-1.59, number needed to treat, NNT 7, 95% CI 4-22) and in the irritable bowel syndrome (IBS) subgroup (three RCTs, n = 167; RR 1.70, 95% CI 1.27-2.27, NNT 4, 95% CI 3-8). However, no difference was found in the rate of treatment responders between children with functional abdominal pain or functional dyspepsia who received placebo or LGG. The intensity of pain was significantly reduced in the overall study population and in the IBS subgroup. The frequency of pain was significantly reduced in the IBS subgroup only. CONCLUSION: The use of Lactobacillus rhamnosus GG moderately increases treatment success in children with abdominal pain-related functional gastrointestinal disorders, particularly among children with IBS.
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“Among the most studied probiotics in pediatric IBS is Lactobacillus rhamnosus GG, which was found in a meta-analysis of three randomized, placebo-controlled trials (RCTs) to confer a modest but significantly increased rate of treatment response versus placebo133.”
From The gut Microbiome in adult and pediatric functional gastrointestinal disorders (2019) · cites this paper as [133]
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Metadata
- Authors
- Horvath, A., Dziechciarz, P., & Szajewska, H.
- Affiliations
- Medical University of Warsaw (PL)
- Corresponding author
- Szajewska, H.
- Venue
- Alimentary Pharmacology & Therapeutics
- Publisher
- Wiley
- Published
- 2011-04-20
- Volume
- 33
- Issue
- 12
- Pages
- 1302-1310
- ISSN
- 0269-2813 (ISSN-L)
- OpenAlex
- W1780023862
- Cited by
- 201
- References
- 21
- Citations by year
- 2026: 6 · 2025: 5 · 2024: 6 · 2023: 13 · 2022: 18 · 2021: 12 · 2020: 14 · 2019: 15 · 2018: 15 · 2017: 17 · 2016: 21 · 2015: 17 · 2014: 13 · 2013: 11 · 2012: 16
- FWCI
- 13.76
- Type
- journal article
- Language
- en
- Open access
- green
- hal.science
- Licence
- Locations
- Alimentary Pharmacology & Therapeutics (publishedVersion)
- PubMed (publishedVersion)
- HAL (submittedVersion, other-oa)
- Trinity's Access to Research Output (TARA) (Trinity College Dublin) (submittedVersion)
- Funders
- Warszawski Uniwersytet Medyczny
- 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, probiotics, abdominal pain, functional gastrointestinal disorders, irritable bowel syndrome, functional abdominal pain, functional dyspepsia, children, pain intensity, pain frequency, Rome criteria
- MeSH terms
- Child, Female, Gastrointestinal Diseases, Humans, Male, Abdominal Pain, Treatment Outcome, Probiotics, Lacticaseibacillus rhamnosus
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