Synopsis

Source of validity: Scientific
Rating (out of 5): 2

Probiotics have been studied for their potential role in the management of diverticulitis, particularly in the prevention of recurrence and in alleviating symptoms of diverticular disease. The rationale is that probiotics can help restore a healthy balance of gut microbiota, which may be disrupted in individuals with diverticular disease and diverticulitis. Some small clinical trials and observational studies suggest that certain probiotic strains (such as Lactobacillus and Bifidobacterium) may reduce symptoms like bloating and abdominal pain in patients with diverticular disease. However, the evidence specifically for acute diverticulitis (the inflammatory phase) is limited.

A 2022 systematic review in the journal Frontiers in Medicine found only low to moderate quality evidence for probiotics in the prevention of recurrent diverticulitis, and no strong evidence to support their use during acute episodes. Most guidelines do not recommend routine probiotic use for diverticulitis due to insufficient high-quality randomized controlled trials. Nonetheless, probiotics are sometimes used in clinical practice and are generally considered safe as adjunctive therapy. Overall, scientific evidence exists, but it is not robust, and further well-designed studies are needed to clarify their efficacy in diverticulitis management.

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