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KMID : 1188320110050010022
Gut and Liver
2011 Volume.5 No. 1 p.22 ~ p.28
Probiotic Fermented Milk Containing Dietary Fiber Has Additive Effects in IBS with Constipation Compared to Plain Probiotic Fer-mented Milk
Choi Sung-Chul

Kim Beom-Jin
Rhee Poong-Lyul
Chang Dong-Kyung
Son Hee-Jung
Kim Jae J.
Rhee Jong-Chul
Kim Soon-Im
Han Young-Sil
Sim Ki-Hyeon
Park Seok-Nam
Abstract
Background/Aims: Although controversial, probiotics and dietary fiber are commonly used for patients with irritable bowel syndrome (IBS). We evaluated the effects of multistrain probiotics on the symptoms of IBS to determine whether the addition of dietary fi ber had an additive effect on constipation-predominant IBS.

Methods: A total of 142 participants who met the Rome III criteria were recruited and randomized into a control group or a test group. Participants in the control group received multistrain probiotic fermented milk with Streptococcus thermophilus, Lactobacillus acidophilus and Bifi dobacterium infantis; the participants in the test group received the same probiotic fermented milk mixed with dietary fi ber such as sea tangle extracts, radish extracts and glasswort extracts. The patients were treated for four weeks.

Results: Most of the symptoms of IBS, with the exception of fl atulence, stool consistency, and frequency of defecation, signifi cantly improved in both groups. In the analysis of IBS subtypes, especially constipation-predominant IBS, the frequency and duration of defecation and straining at stool were improved more in the test group than in the control group.

Conclusions: Dietary fiber had additive benefits for the symptoms of constipation, especially in constipationpredominant IBS.
KEYWORD
Constipation, Dietary fiber, Irritable bowel syndrome, Probiotic fermented milk
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