Is It Advisable to Use Probiotics Routinely After a Colonoscopy? A Rapid Comprehensive Review of the Evidence.

Alice Rossi, Raffaele Manta, Matteo Piciucchi, Alissa Satriano

Journal: Medical sciences (Basel, Switzerland) 2025;13(2):

PMID: 40559234

Abstract

About 5-20% of patients who undergo colonoscopy, in the days and weeks following the procedure, develop various symptoms (abdominal pain, bloating, and bowel alteration) mainly related to dysbiosis induced by the propaedeutic intestinal preparation. Some studies have positively evaluated the impact of the administration of different mixtures of probiotics in preventing and/or limiting this symptomatology. The aim of this review is to evaluate and summarize the available scientific evidence supporting the use of probiotics post-colonoscopy and to define their real efficacy as a routine treatment in a clinical setting.

Address: Gastroenterology and Endoscopy South Area Unit, Medical Department, "Santa Maria della Stella" Hospital of Orvieto USL Umbria2, 05018 Orvieto, TR, Italy.; Clinical Nutrition and Dietetics Unit, "Santa Maria della Misercordia" University Hospital of Perugia, 06122 Perugia, PG, Italy.; Gastroenterology and Digestive Endoscopy Unit, ASL Toscana Nord-Ovest, "Riuniti" Hospital, 56121 Livorno, LI, Italy.
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