Review Article

What Roles Do Probiotics Play in the Eradication of Helicobacter pylori? Current Knowledge and Ongoing Research

Table 4

Summary of clinical trials using probiotics in the absence of antibiotics.

AuthorStudy sizeProbioticStudy typeResult

Sakamoto et al. [33]31Lactobacillus gasseri OLL2716A randomized, controlled clinical trialValue of UBT decreases. Examination of antral biopsies showed two- to 100-fold decreases in the numbers of HP, but in no case were bacteria eliminated completely.
Cruchet et al. [34]326Lactobacillus johnsonii La1A double-blind, randomized, controlled clinical trialA significant difference (DOB2–DOB1) was detected (−7.64 per thousand; 95% CI: −14.23 to −1.03)
Linsalata et al. [52]22Lactobacillus brevisA randomized, double-blind, placebo-controlled studyReduction in the UBT delta values
Imase et al. [36]179L. reuteriA randomized, double-blind, crossover studyAdministration of L. reuteri tablets significantly decreased UBT in HP-positive subjects
Rosania et al. [53]80A mixture of 8 different probioticsDouble-blind, placebo-controlled, randomizedEradication rate
Probiotic: 32.5%
Placebo: 0%
Francavilla et al. [54]100L. reuteri DSM 17938 + L. reuteri ATCC PTA 6475Double-blind, placebo-controlled, randomizedProbiotic: a decrease in the 13C-UBT value by 13%
Placebo: a 4% increase
Holz et al. [55]128 subjects, 47 twin pairs, and 34 singletonsL. reuteri DSM 17648Placebo-controlled pilot studyHad unique properties as it specifically aggregates with planktonic HP in the stomach. It can significantly reduce the HP load after a 14-day oral treatment