Probiotic does not prevent clinical relapse in patients with Crohn's disease

Despite previous data showing beneficial effects, the probiotic Saccharomuces boulardii (S. boulardii) does not prevent clinical relapse in patients with Crohn's disease, according to a new study in Clinical Gastroenterology and Hepatology, the official clinical practice journal of the American Gastroenterological Association.

As more people seek natural or non-drug ways to maintain their health, products containing probiotics have flooded the marketplace. While safe and tolerable, this study discovered that the probiotic S. boulardii does not appear to have any significant beneficial effects for patients with Crohn's disease who are already in remission.

In this randomized, double-blind, placebo-controlled trial, the probiotic yeast S. boulardii was tested as a preventive therapy in patients with moderately severe Crohn's disease who were currently in remission following steroid or salicylate therapies. At the end of the one-year follow-up period, 50 percent of patients had relapsed - 47.5 percent in the S. boulardii group and, similarly, 53.2 percent in the placebo group. Further, the time-to-relapse was not statistically different between patients treated with S. boulardii or placebo.

While this probiotic showed no positive effects for Crohn's disease patients, further studies are needed to determine the potential therapeutic efficacy of probiotics in other forms of IBD, such as ulcerative colitis, and pouchitis.

Probiotics are living microscopic organisms, or microorganisms, that scientific research has shown to benefit an individual's health. S. boulardii, a probiotic made from a strain of yeast and sold in local drug stores or supermarkets in the form of capsules, has been demonstrated to be effective in the treatment of traveler's diarrhea, diarrhea occurring in subjects infected with the human immunodeficiency virus and the prevention of diarrhea associated with antibiotics.

Comments

  1. Sylvia Davies Sylvia Davies Canada says:

    It is no surprise that a probiotic will not keep Crohn's Disease at bay.  Why are such narrow studies continuing?  Perhaps we should extend the study to include diet?  If you continue to put garbage fuel in an engine it will not run well and certainly won't repair itself even with the support of a probiotic. It seems that the purpose of these studies is to enhance the position of the medical profession and drug companies to continue to maintain it's dominant position in keeping IBD at bay. Perhaps a better approach would be for the various medical groups - allopathic and complimentary to work together to help heal people with Crohn's Disease instead of promoting a medical belief system that merely masks the symptoms.

The opinions expressed here are the views of the writer and do not necessarily reflect the views and opinions of News Medical.
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