However,
What probiotics gastrointestinal disorders children?:
LYON _ A position of the European Society of Gastroenterology. For example, Hepatology and Pediatric Nutrition (ESPGHAN) On the use of probiotics for the management of pediatric gastrointestinal disorders was published last January. Consequently, When Congress of the French Pediatric Society the Dr Alexis Mosca. Furthermore, pediatrician in the child’s digestive disease service at the Robert Debré hospital (Paris) returned to the few strains with a modest benefit in children, especially in acute gastroenteritis or the colic of the infant [1]. Moreover, He also gave the audience a taste of the next recommendations on biotics in infants preparations.
ESPGHAN recommendations on the use of pediatrics in pediatrics
The modulators of the intestinal flora that are the meadows. Similarly, pro, syn and postbiotics have a demonstrated utility in pediatric practice but it is not easy to find yourself there what probiotics gastrointestinal disorders children? (read pediatric intestinal disorders: quid of pre, pro, syn and postbiotics?). Therefore, To see more clearly. In addition, a position of the special interest group on the intestinal microbiota and its modifications of the European Society of Gastroenterology, Hepatology and Pediatric Nutrition (ESPGHAN) distributed the right and bad points on the use of specific strains _ and only probiotics _ in various gastrointestinal disorders. Therefore, In these recommendations were only retained the strains which had been the subject of at least two randomized trials. Meanwhile, controlled in the advanced indication.
It turns out that probiotics are recommended for the management of certain pediatric gastrointestinal disorders. Consequently, including acute gastroenteritis, prevention of diarrhea associated with antibiotics, nosocomial diarrhea, and necrotizing enterocolitis in prematurers.
In case of acute gastroenteritis
Positive recommendation for the following strains:
– Lactobacillus rhamnosus GG ATCC. Moreover, 53103
– Saccharomyces boulardii CNCM I-745
what probiotics gastrointestinal disorders children? – Lactobacillus reuteri DSM 17938
– Association L. Consequently, Rhamnosus 19070-2 et L. Similarly, Reuteri DSM 12246
Prevention of diarrhea associated with antibiotics
In ambulatory or hospitalized children, a positive recommendation for S. Moreover, boulardii CNCM I-745 et L. Furthermore, Rhamnosus GG ATCC 53103 (to start simultaneously with antibiotic therapy)
Prevention of nosocomial diarrhea
A positive recommendation for L. Rhamnosus GG ATCC 53103
Prevention of necrotizing enterocolitis
A positive recommendation for L. Rhamnosus GG ATCC 53103. for the association of three strains: Bifidobacterium child BB-02, Bifidobacterium lactisBB-12, Streptococcus thermophilus TH-4
Infection Helicobacter pylori
S. boulardii CNCM I-745 (modest effect. low evidence)
Functional gastrointestinal disorders (Intestin-end interaction disorders)
– Infant colic: a positive recommendation in breastfed infants for:
L. Reuteri DSM 17938 and B. milk BB-12 (low level of evidence)
– Functional abdominal pain disorders (TFDA) / what probiotics gastrointestinal disorders children? Irritable intestine syndrome (SCI): a positive. recommendation for L. Reuteri DSM 17938 and L. Rhamnosus GG ATCC 53103.
On the other hand. no recommendation for a probiotic is made in the context of chronic inflammatory diseases of the intestine (IBD), in case of constipation, celiac disease or bacterial proliferation of the small intestine (SIBO).
What probiotics gastrointestinal disorders children?
In daily practice: prescriptions of specific strain probiotics
The French-speaking group of hepatology-gastroenterology. pediatric nutrition wrote a “Place of Probiotics in the management of the child’s digestive disorders” summarizing the opinions of Espghan, with the dosage to be respected.
Experts recognize that the prescription of probiotics remains complex. because many products do not specify the name of microorganism, or the strains (s) present, nor their quantity, the possible presence of contaminants. Despite this. the prescriber must be precise and mention the strain or the product used, and not be content what probiotics gastrointestinal disorders children? to indicate “a probiotic”.
In France. the legislation authorizes the use of the term “probiotic” as a substance category name characterizing food supplements (DGCCRF mail dated December 19, 2022). However, the quality of the probiotics sold in the trade leaves much to be desired. An analysis relating to 16 probiotic products intended for infants revealed that. in a single case, the composition indicated on the label really corresponded to the content. Stuns announced were absent. some formulations presented contamination, and important variations were observed from one capsule to another or from one lot to another [2]. Assuming results have been observed in another study on probiotics administered to premature infants [3].
An international study from analyzes carried out on different products show major differences between the allegations of labels. the real composition [4]. Among 30 probiotic drugs sold worldwide, only 57 % contain the species announced. 43 % of the what probiotics gastrointestinal disorders children? formulations are non -compliant: six declare less than what they really contain. three lack one or more species, and four have different species from those mentioned.
And in childhood formulas?
A publication under submission (Listener ec et al. JPGN 2025), in which Professor Mosca participated, tried to answer this question: should we add biotics to infants preparations?
“Finally-except for possible modification of our text before publication. but unlikely, he indicates, no recommendation for or against their routine use can be issued for probiotic strains studied (which Bifidobacterium lactis CNCM I-3446, Streptococcus thermophilus, Lactobacillus johnsonii La1) due to the lack of significant clinical benefit in the doses tested. Same conclusion about the oligosaccharides of human milk (Himos). Indeed. if some (2′-FL, 3-FL, LNT, 3′-SL, 6′-SL) can soften the stool (in high doses), there is no demonstrated clinical impact. As for symbiotics (for example Bifidobacterium breve M-16V + SCGOS/ICFOS). what probiotics gastrointestinal disorders children? they are well tolerated but do not bring any clear advantage compared to control formulas and with an inconsistent clinical benefit. »Regarding prebiotics (SCGOS/ICFOS, GOS, SCFOS, OLIGOFRUCTOSE, Enriched inulin …) Nothing very interesting beyond a slight increase in the frequency of stool. Without more. Only the SCGOS/ICFOS mixture (9: 1) receives a good point because of its effect on the consistency of the stool.
Interest links of experts: Dr Alexis Mosca (Robert Debré Hospital, Paris):
Financial interests: none
Lasting or permanent links: no
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