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Gut microbiome in paediatric short bowel syndrome: a systematic review and sequencing re-analysis

Lookup NU author(s): Dr Jemma Cleminson, Dr Greg YoungORCiD, Dr David Campbell, Dr Fiona CampbellORCiD, Professor Andrew GenneryORCiD, Professor Janet Berrington, Professor Christopher StewartORCiD

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This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


Abstract

© The Author(s) 2025.Impact: Children with short bowel syndrome depend on parenteral nutrition, which carries significant risks. Short bowel syndrome patients show reduced gut microbial diversity, increased inflammation-associated bacteria, and fewer beneficial bacteria. This is the first systematic review and meta-analysis examining the gut microbiome in children with short bowel syndrome. The review demonstrated significantly lower bacterial diversity and richness in children with short bowel syndrome, regardless of achievement of intestinal autonomy. Diversity and richness were greater in children who achieved intestinal autonomy than those on parenteral nutrition, though not statistically significant. Larger studies adjusting for confounding factors may identify future therapeutic strategies.


Publication metadata

Author(s): Cleminson JS, Young GR, Campbell DI, Campbell F, Gennery AR, Berrington JE, Stewart CJ

Publication type: Article

Publication status: Published

Journal: Pediatric Research

Year: 2025

Pages: epub ahead of print

Online publication date: 07/05/2025

Acceptance date: 16/03/2025

Date deposited: 27/05/2025

ISSN (print): 0031-3998

ISSN (electronic): 1530-0447

Publisher: Springer Nature

URL: https://doi.org/10.1038/s41390-025-04083-0

DOI: 10.1038/s41390-025-04083-0

Data Access Statement: The datasets generated during and/or analysed during the current study are available from the corresponding author on reasonable request.

PubMed id: 40335641


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Funding

Funder referenceFunder name
NIHR Newcastle Biomedical Research Centre (BRC)
Wellcome Trust and the Royal Society (Grant Number 221745/Z/20/Z)

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