Evidence map›Paper›PMID 33922897›Full record

ReviewNutrients2021

The Effect of Perioperative Administration of Probiotics on Colorectal Cancer Surgery Outcomes.

Louise Pitsillides, Gianluca Pellino, Paris Tekkis, Christos Kontovounisios

Registry-linked trialAbstract readReview
In one paragraph

Review in Nutrients, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07144475 (Comparison of Probiotic Effects of Lactobacillus Casei Shirota With Lactobacillus Acidophilus on the Outcomes of Patients After Colorectal Cancer Surgery), which is not on this map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07144475 phase4completednot on this mapstarted 2024, after this paper: background citation

Comparison of Probiotic Effects of Lactobacillus Casei Shirota With Lactobacillus Acidophilus on the Outcomes of Patients After Colorectal Cancer Surgery: A Study of Gastrointestinal Function, Sepsis Incidence, C-Reactive Protein, Interleukin 6 and Length of Stay

TypeinterventionalSponsorDharmais National Cancer Center HospitalRan2024 to 2025Enrolled90ConditionsColorectal CancerArmsLactobacillus casei Shirota, Lactobacillus acidophilus
3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

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  9. Pumpkin Seeds as a Natural Remedy for Anemia: Nutritional Insights and Therapeutic Potential.Current therapeutic research, clinical and experimental · 2025
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Louise PitsillidesDepartment of Surgery and Cancer, South Kensington Campus, Imperial College London, London SW7 2AZ, UK.ORCID 0000-0002-1366-7344
Gianluca PellinoDepartment of Advanced Medical and Surgical Sciences, Università degli Studi della Campania Luigi Vanvitelli, 80138 Naples, Italy.ORCID 0000-0002-8322-6421
Paris TekkisDepartment of Surgery and Cancer, South Kensington Campus, Imperial College London, London SW7 2AZ, UK.
Christos KontovounisiosDepartment of Surgery and Cancer, South Kensington Campus, Imperial College London, London SW7 2AZ, UK.ORCID 0000-0002-1828-1395

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The perioperative care of colorectal cancer (CRC) patients includes antibiotics. Although antibiotics do provide a certain protection against infections, they do not eliminate them completely, and they do carry risks of microbial resistance and disruption of the microbiome. Probiotics can maintain the microbiome's balance postoperatively by maintaining intestinal mucosal integrity and reducing bacterial translocation (BT). This review aims to assess the role of probiotics in the perioperative management of CRC patients. The outcomes were categorised into: postoperative infectious and non-infectious complications, BT rate analysis, and intestinal permeability assessment. Fifteen randomised controlled trials (RCTs) were included. There was a trend towards lower rates of postoperative infectious and non-infectious complications with probiotics versus placebo. Probiotics reduced BT, maintained intestinal mucosal permeability, and provided a better balance of beneficial to pathogenic microorganisms. Heterogeneity among RCTs was high. Factors that influence the effect of probiotics include the species used, using a combination vs. single species, the duration of administration, and the location of the bowel resection. Although this review provided evidence for how probiotics possibly operate and reported notable evidence that probiotics can lower rates of infections, heterogeneity was observed. In order to corroborate the findings, future RCTs should keep the aforementioned factors constant.

Indexed as

Colorectal NeoplasmsHumansPerioperative CarePostoperative ComplicationsProbioticscolonic resectioncolorectal cancercolorectal surgeryperioperative careprobiotics

Identifiers

PMID33922897
PMCPMC8146873

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.