Role of Probiotics in Reducing GERD

Krishan Gopal, Shashi Shekhar
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Abstract

Probiotic is little known for its benefits on upper gastrointestinal health. The objective of this systematicreview was to examine the efficacy of probiotics in alleviating the frequency and severity of symptoms ingastroesophageal reflux disease (GERD) in the general adult population.. In total, 13 prospective studiesthat were published in 12 articles were included in the analysis and scored per the Jadad scale as high- (fivestudies), medium- (two), and low- (six) quality. One article reported on two probiotic groups; thus, 14comparisons were included in the selected studies, of which 11 (79%) reported positive benefits of probioticson symptoms of GERD. Five out of 11 positive outcomes (45%) noted benefits on reflux symptoms: threenoted reduced regurgitation; improvements in reflux or heartburn were seen in one study; five (45%) sawimprovements in dyspepsia symptoms; and nine (81%) saw improvements in other upper gastrointestinalsymptoms, such as nausea (three studies), abdominal pain (five), and gas-related symptoms (four), such asbelching, gurgling, and burping. In conclusion, probiotic use can be beneficial for GERD symptoms, suchas regurgitation and heartburn.
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益生菌对上消化道健康的益处鲜为人知。本系统综述的目的是研究益生菌在减轻一般成年人胃食管反流病(GERD)症状的频率和严重程度方面的功效。总共有13篇发表在12篇文章中的前瞻性研究被纳入分析,并按Jadad量表评分为高质量(5篇)、中质量(2篇)和低质量(6篇)。一篇文章报道了两组益生菌;因此,在选定的研究中纳入了14项比较,其中11项(79%)报告了益生菌对胃食管反流症状的积极益处。11个阳性结果中有5个(45%)注意到反流症状的改善:3个注意到反流减少;一项研究发现反流或胃灼热有所改善;5例(45%)患者的消化不良症状有所改善;还有9项(81%)研究发现其他上消化道症状有所改善,如恶心(3项研究)、腹痛(5项研究)和与气体有关的症状(4项研究),如打嗝、咯咯声和打嗝。总之,益生菌的使用对胃反流症状,如反流和胃灼热是有益的。
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