Combined treatment of intestinal dysbiosis in patients with chronic hepatitis c on the background of obesity
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UZHHOROD NATIONAL UNIVERSITY, UZHHOROD, UKRAINE
Publication date: 2026-05-29
Wiadomości Lekarskie 2026;(5):936-944
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ABSTRACT
Introduction:
Aim: To study the effectiveness of ursodeoxycholic acid use in the combined treatment of intestinal dysbiosis in patients with chronic Hepatitis C associated
with obesity.
Material and Methods:
84 patients with CHC were examined. All patients underwent a microbiological study of stool, the levels of cytokine profile indicators
were determined and the psychological status and the quality of life were assessed. Two groups were formed: 1 gr (n=40) – received LA-5 and BB-12 1 gtt. x
TID and 2 gr (n=44) - LA-5 + BB-12 + UDCA 500 mg qhs for 1 month.
Results:
As a result of simultaneous administration of LA-5 + BB-12 + UDCA in the above-mentioned doses, in 93.2% of patients with CHC an normalization
of the act of defecation and the disappearance of symptoms of intestinal dysbiosis were found. In patients taking only LA-5 and BB-12, the above-mentioned
positive changes were observed in 62.5%.
Conclusions:
It was found that the additional prescription of UDCA in combination with a probiotic not only contributes to the restoration of colon microbiocenosis,
but also improves the course of CHС, and increases the quality of life of patients.