Perioperative synbiotic treatment to prevent infectious complications in patients after elective living donor liver transplantation: a prospective randomized study |
| |
Authors: | Susumu Eguchi M.D. Mitsuhisa Takatsuki M.D. Masaaki Hidaka M.D. Akihiko Soyama M.D. Tatsuki Ichikawa M.D. Takashi Kanematsu M.D. |
| |
Affiliation: | aDepartment of Surgery, Nagasaki University, Graduate School of Biomedical Sciences, Nagasaki, Japan;bDepartment of Gastroenterology and Hepatology, Nagasaki University, Graduate School of Biomedical Sciences, Nagasaki, Japan |
| |
Abstract: | BackgroundAlthough the effect of synbiotic therapy using prebiotics and probiotics has been reported in hepatobiliary surgery, there are no reports of the effect on elective living-donor liver transplantation (LDLT).MethodsFifty adult patients undergoing LDLT between September 2005 and June 2009 were randomized into a group receiving 2 days of preoperative and 2 weeks of postoperative synbiotic therapy (Bifidobacterium breve, Lactobacillus casei, and galactooligosaccharides [the BLO group]) and a group without synbiotic therapy (the control group). Postoperative infectious complications were recorded as well as fecal microflora before and after LDLT in each group.ResultsOnly 1 systemic infection occurred in the BLO group (4%), whereas the control group showed 6 infectious complications (24%), with 3 cases of sepsis and 3 urinary tract infections with Enterococcus spp (P = .033 vs BLO group). No other type of complication showed any difference between the groups.ConclusionsInfectious complications after elective LDLT significantly decreased with the perioperative administration of synbiotic therapy. |
| |
Keywords: | Synbiotic therapy Living donor liver transplantation Infectious complication |
本文献已被 ScienceDirect 等数据库收录! |
|