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Are there current guidelines for probiotic use to decrease…

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Are there current guidelines for...
Are there current guidelines for probiotic use to decrease post-op infections?
Submitted: 5 months ago.Category: Bariatrics
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Answered in 11 minutes by:
11/26/2017
Bariatric Physician: Doctor John MD, Board Certified MD replied 5 months ago
Doctor John MD
Doctor John MD, Board Certified MD
Category: Bariatrics
Satisfied Customers: 790
Experience: Medical Physician
Verified
Hello and welcome to JustAnswer.comThis is Dr. John and I will be helping you today.I will be reviewing your question and will respond shortly.
I may need to ask a few more questions in order to best serve you.
Thank you for your patience.
Answers here are for education and information only.
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Bariatric Physician: Doctor John MD, Board Certified MD replied 5 months ago
Is there a specific type of surgery that you are looking for guidelines, or just general guidelines regarding probiotics in Post-operative patients?
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Customer reply replied 5 months ago
I am conducting an integrative research review regarding
Effectiveness of Probiotics in Decreasing Post-op Infection in Patients who underwent Abdominal Surgery.
Customer reply replied 5 months ago
mainly abdominal surgeries.
Bariatric Physician: Doctor John MD, Board Certified MD replied 5 months ago
I would start with the review article “Gut Microbiome, surgical complications and probiotics” in Annals of Gastroenterolgy by Stavrour and Kotzampassi if you haven’t read that one yet.
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Customer reply replied 5 months ago
I am trying to find guidlines to include in my articles.....such as maybe CDC, world health organization related to probiotic use and post-op infections.
Bariatric Physician: Doctor John MD, Board Certified MD replied 5 months ago
i Think research is still too new for any formal guidelines. I haven’t seen any published by ACS (American College of Surgeons) or CDC or NIH
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Bariatric Physician: Doctor John MD, Board Certified MD replied 5 months ago
I also don’t see any from Royal College of Surgeons either
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Customer reply replied 5 months ago
ok what about infections in general, not surgical infections.
Bariatric Physician: Doctor John MD, Board Certified MD replied 5 months ago
None that I’ve come across yet either, but again, new area of research and guidelines usually run a good 10+ years behind. I also don’t see any guidelines from Royal Australian College of Surgeons.That said, obviously the research coming out seems favorable on their use.
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Customer reply replied 5 months ago
can you brielfy explain probitics and how they work in reducing post-op infections
Bariatric Physician: Doctor John MD, Board Certified MD replied 5 months ago
Probiotics in general are supplements of naturally occuring bacteria in the gut and can come in pills or in fermented foods such as kefir, cultured yogurt or foods like kimchi or saukerkraut.Probiotics help reestablish normal gut flora balance after bowel surgery which is thought to help the immune system and prevent infection either by enhancing the normal immune system or through competive selection (more good bacteria means less chance of “bad” bacteria developing in the gut.
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Customer reply replied 5 months ago
what are the different type of probiotics currently in use? reference ?
Bariatric Physician: Doctor John MD, Board Certified MD replied 5 months ago
Usually either Lactobacillus (multiple strains but acipholius or rhamonas GG are most common available) or Bifidobacterim bifidum.There is a review article by Fijian in the following journal https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4053917/
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Customer reply replied 5 months ago
how do probiotics work?
Bariatric Physician: Doctor John MD, Board Certified MD replied 5 months ago
In regards ***** ***** infection? Most likely prevent damage to mucosal lining of the gut which prevents infection from other bacterial entering through damaged mucosal lining.Although we also see a decrease in hospital acquired PNA in patients that are placed on probiotics at start of their hospitalization for non-respiratory issue, so also may be some large impact on immune system as well
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Customer reply replied 5 months ago
please show me where you found the most common probiotics used
Bariatric Physician: Doctor John MD, Board Certified MD replied 5 months ago
See the above research article by Fijian that lists most common probiotics studied
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