A Gastroenterologist's Guide to Probiotics

Matthew a. Ciorba, MD


Clin Gastroenterol Hepatol. 2012;10(9):960-968. 

In This Article


Evidence supports a role for considering the recommendation of conventional probiotics for some clinical conditions. Probiotic strain selection should focus on quality-tested products with clinically demonstrated benefit for the given disorder. Patients and physicians should expect modest effects and consider using probiotics as a supplement to, rather than a replacement for, conventional therapy. Though challenges exist, ongoing investigations offer great promise for the future. Perhaps one day clinicians will have the opportunity to use directed selection of a probiotic or probiotic-derived product to specifically address a patient's unique disease-causing physiologic or genetic defect.