approx. 1), we see that the most popular and discussed with regard
with the pathology of the digestive tract, skin diseases, various
disorders of childhood is the concept of dysbiosis.
Practitioners are looking for information about the fight against this disease and can not always find it
. VI Russian Gastroenterological Week (WGA organizers, RAS, RAMS and
Ministry of Health of Russia), held 23-27 October 2000, in his very busy
program (five 8-hour days at the same time in three rooms) in any
report does not mention the problem of dysbiosis and its correction. However, as
previous five.
reason is simple: Russian Gastroenterological Association considers
only clinically based questions Gastroenterology. Therefore, this problem
require additional lighting.
concept of dysbiosis of the colon as a specific chronic condition, illness,
leading to numerous extra-intestinal complications, which must necessarily
correct or treat, "implanting" certain microbes that are characterized only
domestic medicine. This can be easily verified. By looking at
the world's scientific database in medicine (Medline) for the keyword "dysbacteriosis"
(dysbiosis), we learn that it is present in the headers 257 scientific papers,
published from 1966 to 2000 , 250 of them - in Russian medical journals
, 4moreof the authors of the former socialist camp.
working hypotheses from frequent use become an axiom. As noted
one doctor, the problem of dysbiosis has acquired have so many
fact that it looks almost impregnable to criticism. It is easy to guess that among the doctors and
no consensus on what exactly is this
dysbiosis. Will vote differently pediatrician, immunologist, microbiologist, an allergist,
infectious diseases. Bacteriologist has stated that dysbiosis - the notion of a purely
bacteriological.
difficult to expect reliable data about the importance of forced liquidation
so-called dysbiosis health until this concept is not embedded
at least one and / or definite meaning. Russian Gastroenterological Association
avoids using the term, in the International Classification of Diseases
it is also not mentioned.
All the logical constasction of dedicated dysbacteriosis, based on a foundation
time-consuming (and costly) research, which now operates in many
laboratories. Their essence, however, is that the results of the study
several species of bacteria in a piece of feces mechanically extrapolated to
complicated intestinal microecological system (see note. 2), provided
multiple strains ofmorethan 400 species of microorganisms . The change in the bacterial spectasm
forcibly relegated to the role is not investigation, but the reasons
different system (extraintestinal) disorders. This, if you make an analogy, -
fever as the cause of influenza. Patients are often asked to interpret what
or other analysis on dysbiosis ", but do it properly is impossible.
The fact that so-called "normal levels" nowhere
taken: you can not find in the last half-century of serious works, which would have been deeply studied
fecal microflora and the influence of age, gender,
pregnancy, food intake and medication, current diseases, as well as the pace
return to their original performance after the termination of temporary
(removable) factors.
gastroenterologist, have a strict scientific facts, it is impossible to give
any recommendations to combat the "dysbiosis of the large intestine."
Unpleasant sensations in the form of increased gas production, seething in the intestine, etc.,
caused by excessive growth of intestinal flora, in most cases easily
suppressed long-known intestinal antiseptics, which are themselves almost
absorbed and respectively, virtually no side effects. This
primarily domestic dasg sulgin and ftalazol.
In severe cases, resorted to other means, such as neomycin
with decompensated liver cirrhosis. The adherents of the same hypothesis dysbacteriosis
recommend adjusting the balance of intestinal flora taking into biological,
bacterial preparations.
length of the digestive tract an adult up to 6 m, and there
legitimate question: Is not it easier to populate the last few tens of centimeters
guts to introduce "good bacteria" in the enema, but not through the mouth,
subjecting them to exposure of saliva, hydrochloric acid, gastric, bile, pancreatic and intestinal juices
? Apparently, it ismoreconvenient (and profitable) manufacturers
appropriate means.
Role of the colon in the maintenance of health is discussed not only in the last two decades
. It is known proposal II Mechnikov even remove the rectum
to maintain health and longevity (see note. 3).
Orthodox followers of this doctrine is often going to the home of Nobel laureate.
Raleigh lactobacilli in the rehabilitation of mental and physical health was
devoted to a round table organized in St. Petersburg Modern
mechnikovskim movement. It was attended by bacteriologists, gastroenterologists and
several heads of clinics, said, "Medical Statement" (see note.
4) - a monthly professional publication for health professionals
St. Petersburg and Leningrad region (see approx. 5). The doctrine of dysbacteriosis
closely linked with the idea of having to constantly monitor the "purity"
colon.
Cleaning the bowel (UC), the pseudoscientific language, hydro-, - procedure,
at which significant quantities of liquid (several liters) is introduced through
rectum into the intestine to wash it and remove the contents ("slag" ). OK
differs from the conventional enema: enema for easy pouring much smaller volume of liquid
and only in the rectum. Liquids used for QA may include
coffee, infusions and decoctions of herbs, enzymes and other ingredients.
Proponents of this procedure, declaring that "all disease and death begin in
gut" that OK "clears" the body that regular cleaning is required for
maintaining good health. We note immediately that all these provisions are
false.
If otnositeleno recently when the patient has symptoms of general weakness and
intoxication primarily recommended to sanitize the mouth, to treat carious teeth
, now some therapists see the cause of these evils in the opposite
end of the digestive tract.
Why GPs are not interested in the product life
microbial flora of the mouth, which seemed to be absorbed
bypassing the liver in close proximity to the brain? Why
allergopulmonologam not interested in flora and pharyngeal lymphoid ring of the trachea in
asthmatics? Why Dermatologists do not worry flora of the skin and sweat fluid?
Why do some doctors intently interested in is the microbes living in
feces?
probable answer could be next. The concept of having no scientifically sound evidence
can become authoritative simply due to long
existence, the consecration of a historical tradition.
idea that all illness and death begin in the gut - one of the most
old misconceptions about health, well-known to mankind.
The ancient Egyptians linked the faeces with the expansion, and expansion - with death. What
forced them to write in ancient papyri that the expansion of rights begins with
anus? The Egyptians possessed the skill preservation of corpses. When embalming they
observed bacterial rot (normal post-mortem process inside
intestine). Therefore, removing the stomach and intestines become a natural part of
process of embalming.
Interestingly, one of seven medical papyri and 81 of the 900 known
Egyptian medical prescriptions devoted exclusively to the posterior
aisle. The link between food consumed and faeces suggested itself the state itself
themselves. Worries about the prevention of expansion began to manage daily life
inhabitants of ancient Egypt.
Herodotus noted that the Egyptians for three consecutive days each month
purify themselves, maintaining health by emetics and laxatives,
the belief that all illnesses come to the people of food. Although
morethan 700 provisions of the Egyptian pharmacopoeia proved futile with
standpoint of modern science, it nevertheless contains many effective
tools that can cause diarrhea.
the XIX century, these views are gradually crystallized hypothesis
intestinal toxins, and it became very popular. Its main idea was
that poisons the intestinal bacteria that cause decay, enter the body through the intestinal wall
. Therefore, avoid constipation and prevent them in every way.
Numerous guass "recovery" that has spread in all European countries
, offered a lot of different recipes OK. Even then it was
declared that drinking kefir (yogurt) forms a "favorable"
intestinal flora, and the bran have been proposed as roughage for improved
clean colon walls. The adage "an apple a day - and do not need doctors"
appeared just then from thoughts about the value of roughage, but not from the representations of
vitamins.
Simultaneously multiply "hydropathist" who "heals" people of the appointment
excessive loads of water through the mouth in order to wash the food channel on top.
Surgeon Dzh.Kellogg develop and implement an operating procedure that caused
accelerated motion bolus through the intestines. Based on the popularization of the idea
"regular" bowel function began to develop the production of laxatives
dasgs and trafficking. With some zadezhkoy this boom has come in our country,
and now evenmoredistributed through television.
Today, we understand clearly enough the value of dietary fiber in the diet,
hydration, etc. Competent doctors also know that all this has nothing to do with
intestinal toxins.
In the first of the twentieth century was conducted sufficient scientific studies have proven
useless and even harmful OK, and this could not stop.
But even in recent decades, recorded cases of violations of the integrity of the intestinal wall
with peritonitis and sepsis (blood infection), death due to violations of state
electrolytes, severe exacerbations of ulcerative colitis with
OK. With the spread in our country, colon hydrotherapy (irrigation or
colon) as a medical procedure such cases, Viedma, there will be
continue. Ancient Egyptian idea, therefore, continues to evolve. We
she was transformed mainly to the medical doctrine of dysbacteriosis. In
U.S. it took evenmorebizarre forms. Thus, hydro-
became popular in certain circles as a fetish health, general cleanliness.
Especially among gay men: OK hold a special massage parlors with
erotic orientation. Naturally, it all warmed up by some
financial interests.
We are interested in another phenomenon of the American reality:
education reputable non-profit organization the National Council Against
fraud in health "(The National Council Against Health Fraud). This
organization gives unequivocal rebuff such a "popular-scientific medicine."
comment. The editorial board of "Russian Journal of Gastroenterology,
Hepatology, Coloproctology" found an article V. Vasilenko, concerned
still continuing use among practitioners of the term "intestinal bacteria overgrowth
" very important. In this regard, decided to give this article a brief
comment.
agreeing with the author of articles about the lack of evidentiary support many provisions
concept of "gut dysbiosis", the editorial board would like to recall that most of the leading Russian
gastroenterologists few years ago denounced the practice
widespread use of the diagnosis " dysbacteriosis "as a vicious,
since this concept has no inherent clinical component.
Diagnostics "dysbiosis" based on the uninformative results
bacteriological examination of feces, no proper verification, and all
evidence of high efficacy of antibiotics and probiotics
often based on subjective assessment rather than Principles of evidence-based medicine (see
"Diagnosis and treatment of irritable bowel syndrome (Proceedings of the Round Table
") / / Ros. Journ. gastroenterol., gepatol., koloproktol. -1999. v.9-, № 2
-p.61-69).
Unfortunately, the view that the roots of many gastrointestinal diseases
should look at changing the composition of the microflora of the colon, as shown
Article V. Vasilenko, remains popular among some doctors and patients
. At best, this approach is expressed in a long (and mostly useless
) the appointment of so-called probiotics (quantitative and bifidumbacterin
and others), and at worst - the uncontrolled use of antibiotics with the risk of serious complications
, including the bowel.
Those symptoms are usually attributed to intestinal dysbacteriosis (periodic
cramping pain during bowel, flatulence, upset his chair with
tendency to diarrhea, constipation or alternating), in fact, serve as a manifestation of
syndrome irritable intestine (rare - latent
lactase deficiency) - the disease found in the
International Classification of Diseases 10 th revision, and contains the following headings (heading
"intestinal dysbiosis, by the way, the ICD-10 is missing ).
Categories irritable bowel syndrome in ICD-10:
K58 Irritable bowel syndrome
K58.0 Irritable bowel syndrome with diarrhea
K58.9 Irritable bowel syndrome without diarrhea
K59 Other functional intestinal disorders
K59.0 Constipation
K59.1 Functional diarrhea
K59.2 excitability neurogenic bowel, not elsewhere classified
filed
Irritable bowel syndrome - in view of its wide prevalence in the population
( 30-40%) - is a subject of the most modern gastroenterology
attention.
Recent Rome criteria II "functional bowel disorders (1999),
proposed by the International Working Group for the Study of functional
disorders of the gastrointestinal track, include the following headings:
S. Functional gastrointestinal disorders
C1. Irritable bowel syndrome
C2. Functional bloating
C3. Functional constipation
C4. Functional diarrhea
materials highlighting features of pathogenesis, diagnosis and treatment of irritable bowel syndrome
systematically published (and will continue to publish
) in "Russian Journal of Gastroenterology, Hepatology, Coloproctology.
actual infringement of qualitative and quantitative composition of microflora
intestine, in particular elevated levels of bacteria in the small intestine with normal
104/ml (jejunum) to 106/ml and above, it is in modern gastroenterology
syndrome overgrowth of bacteria (bacterial overgrowth syndrome).
This syndrome develops due strictly to certain reasons (eg, resection of the ileocecal valve
followed by reflux of colon contents in
thin, bowel resection with anastomosis in a side by side,
gastro-colonic or thin- colonic fistula, stricture of the intestine in
Crohn's disease, radiation enteritis, etc.) under which the contents of the large intestine
comes in thin or disaspted propulsive motility of the small intestine.
syndrome overgrowth of bacteria is a pronounced
clinical component - diarrhea with possible manifestations of malabsorption. He
diagnosed on the basis of the results with H2 breath test, conducted with
laktulo?? Oh, and the results of bacteriological culture study
duodenal aspirate with counting of microorganisms. Syndrome treatment
overgrowth of bacteria involves first impact on the ground
disease that caused his development.
publishing this interesting, original story written by the editorial board
"Russian Journal of Gastroenterology, Hepatology, Coloproctology"
expresses the hope that it will help scientists and practitioners, remain in captivity
previous ideas the "intestinal dysbacteriosis"
reconsider their views on the causes of patients with intestinal disorders, which will
improve the results of their treatment.
from the author. Since the article was published, new data on this
problem.
1. Okolonauchnye research "dysbiosis with self-poisoning", as now
accepted among educated people call diarrhea / constipation with the emission of the winds,
successfully continue with the use of modern equipment. (Another mystery
disease occurs only in the urban population of Russia - "osteochondrosis")
Naturally, this causes evenmorerespect from the profane. Already proposed
use the form "Microbial metabolic fecal passport" prepared
based on gas chromatography of these same winds. Afflicted patients
can now to analyze sdavatne no calories, and gases. Do not mention the address of the Moscow
medical center, not to create it unnecessary advertising.
2. Found historical evidence that not only domestic patients
significantly affected by the adherents of the hypothesis that intestinal poisons. The well-known
Ebers Papyass (Egyptian pharmaceutical papyass of the XVI century BC) was
handbook personal physician of Louis XV - the King, actually broke down
great state.
A mechnikovskaya thought about the dangers of the presence of the colon was taken to
service in the UK: Only one surgeon large medical center
London s Guy s Hospital, Sir, VA Lane (Sir William Arbuthnot Lane) between 1900 and 1920
colon removed in hundreds of Britons with constipation.
3. Finally, evidence-based medicine was in 2000 as a result of extensive research
irrevocable proof that
high intake of food (vegetable) fibers, bran does not
prevents the development of colon cancer. This fact is now being actively discussed, he
make a fresh look at the problem of many nutritionists, oncologists and gastroenterologists
. Perhaps the information and then reach to ordinary consumers
food additives and "green" products. And, maybe, everything will remain
continue as the belief in the miraculous power of yogurt.
In the future we will publish the materials and other non-existent disease
(infectious and immune), which in medical laboratories actively identifying,
diagnosed and "treated" under the control of the laboratory for a large fee.
VV Vasilenko
1. Internet portal for patients www.03.com/.
2. Specific and nonspecific mechanisms for the protection of digestive tract
include state of the epithelium of the mucous membranes, lysozyme activity, acidity
and enzymatic activity of gastric juice, the content of complement,
interferons, macrophages, immunoglobulins and other
3. Interestingly, in connection with this proposal scientist LN Tolstoy wrote in his diary
: "Metchnikoff comes up with, as by cutting out the guts,
picking in the ass to neutralize the old age and death. Similarly, without him, and before him
nobody thought of it. Only now he missed that old age and death are not entirely
pleasant. Think before you, Mr. Mechnikov, and did not think such children are thought of as
you, but the greatest minds in the world, and resolved, and resolved the issue of how to defuse
old age and death, only cleverly solved this issue and not like you: looking
answer to the question is not in the ass, but in the spiritual essence of man. "
4. 1998 - Vol. 7 (10), Sept.
5. Thus, the disillusion nervism another Nobel laureate
from St. Petersburg led to the displacement of pathogenic importance of the head to her
antipode.

St Atiyah published on the website
www.comsmg.com