Cited by 198Probiotics and Fermented FoodsInflammatory Bowel DiseaseMicrobial Metabolites in Food Biotechnology

Beneficial Effects of Probiotic Bifidobacterium and Galacto-Oligosaccharide in Patients with Ulcerative Colitis: A Randomized Controlled Study

Ishikawa, Hideki, Matsumoto, Satoshi, Ohashi, Yuji, Imaoka, Akemi, Setoyama, Hiromi, Umesaki, Yoshinori, Tanaka, Ryuichiro, Otani, Toru·2011·Digestion

Abstract

Background/Aim: In previous studies, we described the beneficial effects of bifidobacteria-fermented milk in patients with ulcerative colitis (UC). Here, we examined the effects of a live Bifidobacterium breve strain Yakult, a probiotic contained in bifidobacteria-fermented milk, and galacto-oligosaccharide (GOS) as synbiotics in UC patients. Methods: Forty-one patients with mild to moderate UC were assigned to two groups; one group was treated with the synbiotics and the other was not (control). The treatment group ingested 1 g of the probiotic powder (109 CFU/g) three times a day, and 5.5 g of GOS once a day for one year. At the start and the end of this study, colonoscopic index and the amount of myeloperoxidase in a lavage solution were used as disease activity indices. Bacterial counts in the feces at the start and the end of this study were also examined. Results: After a one-year treatment with the synbiotics, the clinical status of the UC patients as assessed by colonoscopy, significantly improved. Furthermore, the amount of myeloperoxidase in the lavage also decreased in these patients after the synbiotic treatment. The synbiotics significantly reduced the fecal counts of Bacteroidaceae and fecal pH. Conclusion: Administration of live B. breve strain Yakult and GOS can improve the clinical condition of patients with UC. These results encouraged us to perform a large-scale randomized, placebo-controlled trial.

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Crossref · 10.1159/000322977

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  • The two B. breve strains included in Table 2 were tested together with other bacteria or with prebiotics such as galacto-oligosaccharides.

    “the two strains of B. breve included in the table were tested together with some of these bacteria [139,141] , or even with prebiotics such as galacto-oligosaccharides [140]”

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Authors
Ishikawa, H., Matsumoto, S., Ohashi, Y., Imaoka, A., Setoyama, H., Umesaki, Y., Tanaka, R., & Otani, T.
Affiliations
  • Kyoto Prefectural University of Medicine (JP)
  • Yakult Central Institute (JP)
  • Osaka International Cancer Institute (JP)
Venue
Digestion
Publisher
S. Karger AG
Published
2011
Volume
84
Issue
2
Pages
128-133
ISSN
  • 0012-2823 (ISSN-L)
  • 1421-9867
OpenAlex
W2050226660
Cited by
197
References
25
Citations by year
2026: 5 · 2025: 9 · 2024: 19 · 2023: 16 · 2022: 14 · 2021: 21 · 2020: 19 · 2019: 15 · 2018: 14 · 2017: 17 · 2016: 11 · 2015: 11 · 2014: 14 · 2013: 4 · 2012: 7
FWCI
12.15
Type
journal article
Language
en
Open access
closed
Locations
  • Digestion (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Life Sciences › Agricultural and Biological Sciences › Food Science › Probiotics and Fermented Foods
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Inflammatory Bowel Disease
  • Health Sciences › Nursing › Nutrition and Dietetics › Microbial Metabolites in Food Biotechnology
Keywords
ulcerative colitis, Bifidobacterium breve, Yakult, galactooligosaccharides, synbiotics, probiotics, myeloperoxidase, fecal pH, disease activity, colonoscopy
MeSH terms
Adult, Bifidobacterium, Colitis, Ulcerative, Colonoscopy, Feces, Female, Humans, Male, Middle Aged, Peroxidase, Oligosaccharides, Severity of Illness Index, Probiotics, Prebiotics, Synbiotics

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