ORIGINAL RESEARCH article

Front. Med.

Sec. Gastroenterology

Influences of probiotics plus enteral nutrition on intestinal flora and inflammatory response in patients with severe acute pancreatitis

  • Changzhou Cancer Hospital, Changzhou, China

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Abstract

This study investigated the effects of probiotics combined with enteral nutrition in 130 patients with severe acute pancreatitis (SAP). Compared to the control group (enteral nutrition only), the study group (probiotics plus enteral nutrition) showed significantly greater improvements in intestinal mucosal barrier markers, inflammatory factors (CRP, TNF-α, IL-6), immune function (IgG, IgM, IgA), and nutritional status at 7 and 14 days post-treatment. The probiotics group also exhibited more favorable modulation of intestinal flora, faster abdominal pain relief, and a shorter hospital stay. No difference was found in mortality, persistent organ failure, incidence of infected pancreatic necrosis, or ICU utilization.

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Keywords

Enteral Nutrition, Inflammatory Response, intestinal flora, Probiotics, Severe acute pancreatitis

Received

12 December 2025

Accepted

06 February 2026

Copyright

© 2026 Cheng, Jiang, Jiang and Zhu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

*Correspondence: Changhong Zhu

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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

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