Probiotische Behandlung der chronischen Obstipation |
Abstract: Changes of intestinal microflora in constipated patients, like reduction of total microbial counts, decrease of Bifidobacteria and of normal nonpathogenic E. coli, increase of Bacteroides, show that relationship exist between a disturbed intestinal flora and chronic idiopathic constipation. After in several case-reports a positive effect of a probiotic treatment of chronic constipation by the E. coli strain Nissle 1917 (MutaflorŪ) has been described, therapeutic efficacy and tolerability where proved in two controlled clinical studies. In the first study an equivalence of MutaflorŪ treatment with the standard prescription lactulose has been shown. In the second study being conducted as a placebo-controlled double-blind study, a significant superiority of probiotic treatment with the E. coli preparation compared to placebo could be demonstrated.
Keyword(s): Chronische Obstipation
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