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Clinical Applications of Probiotics in Gastroenterology: Questions and Answers, An Issue of Gastroenterology Clinics - E-Book

Clinical Applications of Probiotics in Gastroenterology: Questions and Answers, An Issue of Gastroenterology Clinics - E-Book

Gerald Friedman

(2012)

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Book Details

Abstract

The authors in this issue will provide state-of-the-art reviews on the use of probiotics in care of the gastroenterologic system. Articles are devoted to probiotics as treatment for IBD, chronic diarrhea, C. difficile colitis, functional bowel disease, allergic disorders, necrotizing enterocolitis, and obesity. Other articles examine the safety of probiotics, fecal biotherapy, and molecular assessment of intestinal microflora.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Gastroenterology Clinics of North America: Clinical Applications of Probiotics in Gastroenterology: Questions and Answers i
Copyright Page ii
Table of Contents v
Contributors iii
GASTROENTEROLOGY CLINICS OF NORTH AMERICA viii
Preface: Clinical Applications of Probiotics\rin Gastroenterology: Questions\rand Answers ix
Chapter 1. Early Development of Intestinal Microbiota: Implications for Future Health 717
INTRODUCTION 717
COMPOSITION OF EARLY GUT MICROBIOTA 718
DETERMINANTS OF INFANT MICROBIOTA 719
MICROBIOTA COMPOSITION AND ASSOCIATIONS WITH DISEASE 722
SUMMARY 725
REFERENCES 725
Chapter 2. Treatment of Necrotizing Enterocolitis with Probiotics 733
HOST SUSCEPTIBILITY IN PRETERM INFANTS 735
BACTERIAL COLONIZATION OF PRETERM INFANTS 737
PROBIOTICS IN NEC PREVENTION 737
CONCERNS 740
SUMMARY 743
REFERENCES 743
Chapter 3. Probiotics in the Development and Treatment of Allergic Disease 747
THE HYGIENE HYPOTHESIS AND GUT MICROBIOTA: THE STARTING POINT 747
ALLERGIC DISORDERS: A MOVING TARGET FOR THERAPEUTIC AND PREVENTIVE MEASURES? 748
ESTABLISHMENT OF THE GUT MICROBIOTA: NEW INSIGHT INTO PROBIOTIC ACTION 749
PROBIOTICS: DEFINITIONS AND SPECIFICATIONS 753
EVIDENCE OF PROBIOTIC ACTION: HOW TO INTERPRET CLINICAL DATA 753
FUTURE CHALLENGES 758
SUMMARY 758
REFERENCES 759
Chapter 4. The Role of Probiotics in the Prevention and Treatment of Antibiotic-Associated Diarrhea and Clostridium Difficile Colitis 763
INTRODUCTION 763
CAUSES OF AAD 764
PREVENTING AAD WITH PROBIOTICS 764
MECHANISMS OF ACTION OF PROBIOTICS 765
SINGLE STRAIN PROBIOTICS USED FOR TREATING AAD 765
MULTISTRAIN PROBIOTICS FOR TREATING AAD 767
PREVENTION OF PEDIATRIC AAD 767
PREVENTING ADULT AAD 767
META-ANALYTIC POOLING 768
AAD AND HELICOBACTER PYLORI THERAPY 768
META-ANALYTIC CONFIRMATION OF RESULTS SUPPORTING USE OF PROBIOTICS FOR AAD 769
AAD–THE PATHWAY TO CLOSTRIDIUM DIFFICILE COLITIS 769
THE SPECTRUM OF CDI INFECTION 769
CLASSIFICATION OF DISEASE SEVERITY 770
DIAGNOSIS OF CDI 770
LABORATORY DIAGNOSIS 771
TREATMENT OF CDI 771
OTHER THERAPEUTIC CONSIDERATIONS 772
RECURRENT CLOSTRIDIUM DIFFICILE COLITIS 772
TREATMENT OF RECURRENT CDI 773
INFECTION CONTROL AND PREVENTION MEASURES 773
MONITORING ANTIMICROBIAL AGENTS 773
USING PROBIOTICS TO PREVENT CDI 774
ADJUNCTIVE PROBIOTIC THERAPY TO PREVENT RECURRENT CDI 775
SAFETY OF PROBIOTICS 775
THE ECONOMIC IMPACT OF CLOSTRIDIUM DIFFICILE INFECTION 776
SUMMARY 776
REFERENCES 776
Chapter 5. Fecal Microbiota Transplantation: Techniques, Applications, and Issues 781
DESCRIPTION AND HISTORY OF FMT 781
FMT BROUGHT INTO CLINICAL USE AFTER THE CDI EPIDEMIC 782
GUT MIROBIOTA—THE VIRTUAL ORGAN 787
RATIONALE FOR FMT USE 788
FMT IN INFLAMMATORY BOWEL DISEASE 789
FMT—EMERGING APPLICATIONS 792
HOW IS FMT CURRENTLY PERFORMED 797
HOW WILL FMT BE PERFORMED IN THE FUTURE? 797
SUMMARY 797
REFERENCES 798
Chapter 6. Probiotics in the Management of Functional Bowel Disorders: Promise Fulfilled? 805
INTRODUCTION 805
A SCIENTIFIC BASIS FOR THE USE OF PROBIOTICS IN FUNCTIONAL BOWEL DISORDERS 806
CLINICAL STUDIES OF PROBIOTICS IN FUNCTIONAL BOWEL DISORDERS 810
THE FUTURE 811
ACKNOWLEDGMENTS 811
REFERENCES 811
Chapter 7. Probiotic Bacteria in the Prevention and the Treatment of Inflammatory Bowel Disease 821
INTRODUCTION 821
GASTROINTESTINAL MICROBES AND IBD 822
PROBIOTICS 823
PROBIOTICS IN THE TREATMENT OF INFLAMMATORY BOWEL DISEASE 824
SUMMARY 837
REFERENCES 838
Chapter 8. Probiotics, Prebiotics, Energy Balance, and Obesity: Mechanistic Insights and Therapeutic Implications 843
INTRODUCTION 843
ASSOCIATION BETWEEN GUT MICROBIOTA AND OBESITY: PATHOPHYSIOLOGICAL MECHANISMS 844
THE ROLE OF GUT MICROBIOTA IN HUMAN OBESITY 848
THERAPEUTIC TARGETS 849
SUMMARY 850
REFERENCES 850
Chapter 9. Nucleic Acid-based Methods to Assess the Composition and Function of the Bowel Microbiota 855
IS THERE A NEED TO KNOW ABOUT MICROBIOTA COMPOSITION IN PROBIOTIC STUDIES? 855
WHY USE NUCLEIC ACID-BASED TOOLS IN MICROBIOTA STUDIES? 856
WHY DETECT PROBIOTIC BACTERIA USING BULK DNA? 858
ELECTROPHORETIC METHODS TO SCREEN MICROBIOTA COMPOSITIONS 859
FLUORESCENT PROBES 859
MEASURING ABUNDANCE OF BACTERIAL GROUPS BY QUANTITATIVE PCR 860
DNA CHIPS TO SCREEN MICROBIOTA COMPOSITIONS 861
PHYLOGENETIC ANALYSIS—DETAILED MICROBIOTA COMPOSITION 862
METAGENOMICS—DETERMINING MICROBIOTA BIOCHEMICAL CAPACITY 863
METATRANSCRIPTOMICS—MICROBIOTA BIOCHEMICAL PATHWAYS IN ACTION 864
PUTTING IT ALL TOGETHER—MULTIVALENT ANALYSIS AT A PRACTICAL LEVEL 865
REFERENCES 866
Chapter 10. A Commentary on the Safety of Probiotics 869
INTRODUCTION 869
WHEN FRIENDLY BACTERIA BEHAVE POORLY 870
JUST THE FACTS 871
ANTIBIOTIC RESISTANCE AND TRANSFER 872
DESIGNER TURBO PROBIOTICS 872
TALES OF THE UNEXPECTED 873
WHAT IS ON THE LABEL? WHAT IS REALLY IN IT? 874
SUMMARY 874
REFERENCES 874
Index 877