Gut Microbiota

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This online course provides evidence-based information to update gastroenterologists on the role of the commensal gut microbiota in normal gut physiology and function, as well as its role in gastrointestinal diseases. The introduction and three subsequent parts are to raise gastroenterologists' awareness of the importance of the gut microbiota in many clinical conditions.

The course consists of a set of four slide shows ( 1.Introduction, 2.Diarrhea, 3.Colonic diseases, 4. Questions from patients) followed by learning assessment. The estimated time needed to complete the course, including the final assessment, is one hour. 

This  online course was developed by members of the GM&H Section of the ESNM, and was approved by the Board of Directors of the Section and by the Steering Committee of ESNM. 

  • To raise gastroenterologists' awareness of the role of the gut microbiota;
  • To understand the role of gut microbiota and the main tools to modulate it in diarrhea including antibiotic-associated diarrhea, constipation and bloating;
  • To understand the role of gut microbiota in irritable bowel syndrome and inflammatory bowel diseases (Crohn´s disease, ulcerative colitis);
  • To improve the current use of antibiotics and probiotics in gastroenterology; 
  • To reflect on the impact of some procedures (e.g. endoscopy) on the gut microbiota; 
  • To illustrate when and how to explore gut microbiota;
  • To provide answers to the questions patients may ask their gastroenterologists.

Leading authors:
Professor Fernando Azpiroz, General Hospital of Vall d’Hebron, Department of Digestive Diseases, Barcelona, Spain

Professor Paul Enck, University Hospital Tubingen, Department of Internal Medicine, Tubingen Germany

This online course is suitable for all general practitioners, internists and gastroenterologists.

The course is designed to last approximately 1 hour in total.
All authors and the course editor have declared that they have no conflicts of interest in relation to the material in this course.
The production of this course was funded entirely by ESNM. No external sponsorship was received.
The material used in this course was prepared in 2015.
Learners are invited to test their knowledge at the end of the course via a questionnaire.



This course, made available on and organised by Gut Microbiota & Health; Section of the European Society of Neurogastroenterology & Motility, is accredited by the European Accreditation Council for Continuing Medical Education (EACCME) to award 1 European CME credit (ECMEC). Each medical specialist should claim only those credits that he/she actually spent in the educational activity. The EACCME is an institution of the European Union of Medical Specialists (UEMS). Only those e-learning materials that are displayed on the UEMS-EACCME website have formally been accredited.