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Changes in Microbiota Profile in the Proximal Remnant Intestine in Infants Undergoing Surgery Requiring Enterostomy

dc.contributor.authorBarreiros-Mota, I
dc.contributor.authorR. Araújo, J
dc.contributor.authorMarques, C
dc.contributor.authorSousa, L
dc.contributor.authorMorais, J
dc.contributor.authorCastela, I
dc.contributor.authorFaria, A
dc.contributor.authorNeto, MT
dc.contributor.authorCordeiro-Ferreira, G
dc.contributor.authorVirella, D
dc.contributor.authorPita, A
dc.contributor.authorPereira-da-Silva, L
dc.contributor.authorCalhau, C
dc.date.accessioned2024-01-10T15:57:57Z
dc.date.available2024-01-10T15:57:57Z
dc.date.issued2023
dc.description.abstractEarly-life gut dysbiosis has been associated with an increased risk of inflammatory, metabolic, and immune diseases later in life. Data on gut microbiota changes in infants undergoing intestinal surgery requiring enterostomy are scarce. This prospective cohort study examined the enterostomy effluent of 29 infants who underwent intestinal surgery due to congenital malformations of the gastrointestinal tract, necrotizing enterocolitis, or spontaneous intestinal perforation. Initial effluent samples were collected immediately after surgery and final effluent samples were collected three weeks later. Gut microbiota composition was analysed using real-time PCR and 16S rRNA gene sequencing. Three weeks after surgery, an increase in total bacteria number (+21%, p = 0.026), a decrease in Staphylococcus (-21%, p = 0.002) and Candida spp. (-16%, p = 0.045), and an increase in Lactobacillus (+3%, p = 0.045) and in less abundant genera belonging to the Enterobacteriales family were found. An increase in alpha diversity (Shannon's and Simpson's indexes) and significant alterations in beta diversity were observed. A correlation of necrotizing enterocolitis with higher Staphylococcus abundance and higher alpha diversity was also observed. H2-blockers and/or proton pump inhibitor therapy were positively correlated with a higher total bacteria number. In conclusion, these results suggest that positive changes occur in the gut microbiota profile of infants three weeks after intestinal surgery.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationMicroorganisms . 2023 Oct 3;11(10):2482pt_PT
dc.identifier.doi10.3390/microorganisms11102482pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/4782
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherMultidisciplinary Digital Publishing Institute (MDPI)pt_PT
dc.subjectEnterostomypt_PT
dc.subjectMicrobiotapt_PT
dc.subjectNecrotizing enterocolitispt_PT
dc.subjectInfantspt_PT
dc.subjectHDE UCI NEOpt_PT
dc.titleChanges in Microbiota Profile in the Proximal Remnant Intestine in Infants Undergoing Surgery Requiring Enterostomypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue10pt_PT
oaire.citation.startPage2482pt_PT
oaire.citation.titleMicroorganismspt_PT
oaire.citation.volume11pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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