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6/28/2019 8:01:23 AM | Browse: 933 | Download: 1522
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2019-06-27 10:40 |
| Category |
Gastroenterology & Hepatology |
| Manuscript Type |
Review |
| Article Title |
Dietary approach and gut microbiota modulation for chronic hepatic encephalopathy in cirrhosis
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| Manuscript Source |
Invited Manuscript |
| All Author List |
Daniela Campion, Ilaria Giovo, Paola Ponzo, Giorgio M Saracco, Federico Balzola and Carlo Alessandria |
| Funding Agency and Grant Number |
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| Corresponding Author |
Carlo Alessandria, MD, Doctor, Doctor, Division of Gastroenterology and Hepatology, Città della Salute e della Scienza di Torino Hospital, University of Turin, C.so Bramante 88, Turin 10126, Italy. carloalessandria@libero.it |
| Key Words |
Cirrhosis; Hepatic encephalopathy; Diet therapy; Gut microbiota; Leaky gut; Hyperammonemia; Prebiotics; Probiotics; Gluten-casein free diet; Gut microbiota transplantation |
| Core Tip |
Hepatic encephalopathy (HE) is a serious complication of cirrhosis resulting from a multifactorial impairment of gut-liver-brain axis functioning. Multiple interrelated factors (e.g., intestinal hyperpermeability, dysbiosis, hyperammonemia, inflammation) cooperate in its development. “Gut-centric” therapies, including non-absorbable disaccharides, antibiotics, prebiotics, probiotics, and fecal microbiota transplantation have been successfully employed to manage HE: pertinent current knowledge will be reviewed. Furthermore, the utility of dietary modifications in this context is increasingly recognized, thus opening a new promising research path. This review sheds light on dietary therapeutic strategies for HE, exploring how they can target the mechanisms underlying gut-liver-brain axis dysregulation. |
| Publish Date |
2019-06-27 10:40 |
| Citation |
Campion D, Giovo I, Ponzo P, Saracco GM, Balzola F, Alessandria C. Dietary approach and gut microbiota modulation for chronic hepatic encephalopathy in cirrhosis. World J Hepatol 2019; 11(6): 489-512 |
| URL |
https://www.wjgnet.com/1948-5182/full/v11/i6/489.htm |
| DOI |
https://dx.doi.org/10.4254/wjh.v11.i6.489 |
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