Is There a Role for Probiotics in Liver Disease?

Intestinal microbiota plays an important role in health and disease. Alteration in its healthy homeostasis may result in the development of numerous liver disorders including complications of liver cirrhosis. On the other hand, restoration and modulation of intestinal flora through the use of probio...

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Main Authors: Robert S. Lo, Andrew S. Austin, Jan G. Freeman
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1155/2014/874768
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author Robert S. Lo
Andrew S. Austin
Jan G. Freeman
author_facet Robert S. Lo
Andrew S. Austin
Jan G. Freeman
author_sort Robert S. Lo
collection DOAJ
description Intestinal microbiota plays an important role in health and disease. Alteration in its healthy homeostasis may result in the development of numerous liver disorders including complications of liver cirrhosis. On the other hand, restoration and modulation of intestinal flora through the use of probiotics is potentially an emerging therapeutic strategy. There is mounting evidence that probiotics are effective in the treatment of covert and overt hepatic encephalopathy, as well as in the prevention of recurrence of encephalopathy. The beneficial effect of probiotics also extends to liver function in cirrhosis, nonalcoholic fatty liver disease, and alcoholic liver disease. On the other hand, data associating probiotics and portal hypertension is scanty and conflicting. Probiotic therapy has also not been shown to prevent primary or secondary spontaneous bacterial peritonitis. Larger clinical studies are required before probiotics can be recommended as a treatment modality in liver diseases.
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series The Scientific World Journal
spelling doaj-art-75f8cd71aabb4efabc9f771f578846f62025-02-03T01:32:46ZengWileyThe Scientific World Journal2356-61401537-744X2014-01-01201410.1155/2014/874768874768Is There a Role for Probiotics in Liver Disease?Robert S. Lo0Andrew S. Austin1Jan G. Freeman2Liver Unit, Royal Derby Hospital, Derby DE22 3NE, UKLiver Unit, Royal Derby Hospital, Derby DE22 3NE, UKLiver Unit, Royal Derby Hospital, Derby DE22 3NE, UKIntestinal microbiota plays an important role in health and disease. Alteration in its healthy homeostasis may result in the development of numerous liver disorders including complications of liver cirrhosis. On the other hand, restoration and modulation of intestinal flora through the use of probiotics is potentially an emerging therapeutic strategy. There is mounting evidence that probiotics are effective in the treatment of covert and overt hepatic encephalopathy, as well as in the prevention of recurrence of encephalopathy. The beneficial effect of probiotics also extends to liver function in cirrhosis, nonalcoholic fatty liver disease, and alcoholic liver disease. On the other hand, data associating probiotics and portal hypertension is scanty and conflicting. Probiotic therapy has also not been shown to prevent primary or secondary spontaneous bacterial peritonitis. Larger clinical studies are required before probiotics can be recommended as a treatment modality in liver diseases.http://dx.doi.org/10.1155/2014/874768
spellingShingle Robert S. Lo
Andrew S. Austin
Jan G. Freeman
Is There a Role for Probiotics in Liver Disease?
The Scientific World Journal
title Is There a Role for Probiotics in Liver Disease?
title_full Is There a Role for Probiotics in Liver Disease?
title_fullStr Is There a Role for Probiotics in Liver Disease?
title_full_unstemmed Is There a Role for Probiotics in Liver Disease?
title_short Is There a Role for Probiotics in Liver Disease?
title_sort is there a role for probiotics in liver disease
url http://dx.doi.org/10.1155/2014/874768
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