Effect of different study factors on the in situ
ruminal degradability of ammonified
sugarcane bagasse
Efecto de los diferentes factores de estudio en la
degradabilidad ruminal in situ del bagazo de caña
amonificado
Ricardo Daniel Vélez Saeteros
1
Ángel Ruisdael Bravo Vargas
2
Ernesto Antonio Hurtado
3
Edis Geovanny Macías Rodríguez
4
Abstract: This study evaluated the in situ degradation of ammonified
sugarcane bagasse silage as cattle feed during the dry season. Samples
of fresh sugar cane bagasse (Saccharum sp) were randomly taken
from the "Puro Bravo" farm, located in the "La Soledad" site, Junin
canton, province of Manabi. A Completely Randomized Design with
3x2 Factorial Arrangement was used, where Factor A was represented
by the different levels of urea inclusion (0, 3 and 5 %) and Factor B,
fermentation times of sugarcane bagasse (30 and 44 days), each
combination of these factors consisted of three replications. The best
treatment is 5% urea, day 30 of fermentation, both in bromatology
and degradability, and the degree of association of degradability at
different times was related to the nutritional value of the ammonified
bagasse, which is related to degradability and fiber. Ammonification
with urea improved nutritional values, characterized by increasing
crude protein and decreasing NDF, FDA and LDA as urea levels
increased. The differences were highly significant (P < .0001),
indicating that the results were highly significant for each of the
variables studied, which allowed relating the degree of association of
degradability at different times with the nutritional value of the
ammonified bagasse silage.
Keywords: Agribusiness, degradability, nutrition, dry season.
Published
Instituto Tecnológico Superior Edwards
Deming. Quito Ecuador
Periodicity
April - June
Vol. 2, Num. 2, 2023
Dates of receipt
Received: January 09, 2023
Approved: March 01, 2023
http://centrosuragraria.com/index.php/revista
vol. 1. Num. 17. 2023.
pp. 13-25
Correspondence author
rvelez@uagraria.edu.ec
Creative Commons License
Creative Commons License, Attribution-
NonCommercial-ShareAlike 4.0
International.https://creativecommons.org/lice
nses/by-nc-sa/4.0/deed.es
1 Universidad Agraria del Ecuador, Ecuador - Guayaquil, rvelez@uagraria.edu.ec, https://orcid.org/0000-0001-
7720-9441
2 Universidad Agraria del Ecuador, Ecuador - Guayaquil, angel.ruisdael@gmail.com https://orcid.org/0000-
0003-4955-7099
3 Escuela Superior Politécnica de Manabí, Calceta, Manabí, ernesto.hurtado@espam.edu.ec
http://orcid.org/0000-0003-2574-1289
4 Universidad Técnica de Manabí, Ecuador - Portoviejo, edis.macias@utm.edu.ec, https://orcid.org/0000-
0002-1113-3031
Effect of different study factors on the in situ ruminal degradability of ammonified sugarcane
bagasse.
14
Resumen: Mediante este estudio se pudo evaluar la degradación in
situ del ensilaje del bagazo de caña de azúcar amonificado, como
alimento del ganado bovino en época seca. Se tomaron aleatoriamente
muestras de bagazo fresco de caña de azúcar (Saccharum sp) de la
Hacienda “Puro Bravo”, ubicada en el sitio “La Soledad”, cantón
Junín, provincia de Manabí. Se utilizó un Diseño Completamente
Aleatorizado con Arreglo Factorial 3x2, donde el Factor A se
representó por los diferentes niveles de inclusión de urea (0, 3 y 5 %)
y el Factor B, tiempos de fermentación del bagazo de caña (30 y 44
días), cada combinación de estos factores constó con tres repeticiones.
El mejor tratamiento es el de urea al 5%, día 30 de fermentación, tanto
en bromatología como en degradabilidad, además se relacionó el
grado de asociación de la degradabilidad en distintos tiempos con el
valor nutricional del bagazo de caña amonificado, el mismo que sí se
relaciona con la degradabilidad y con la fibra. La amonificación con
urea mejora los valores nutricionales, caracterizado por el
aumentando de la proteína cruda y diminución de, así como la FDN,
FDA y LDA en la medida de que se aumentan niveles de urea. Las
diferencias fueron altamente significativas (P <.0001) .Lo expuesto
indica que los resultados fueron altamente significativos para cada
una de las variables estudiadas, con lo cual se pudo relacionar el grado
de asociación de la degradabilidad en distintos tiempos con el valor
nutricional del ensilaje de bagazo de caña amonificado.
Palabras clave: Agroindustria, degradabilidad, nutrición, temporada
seca.
1. Introduction
Effect of urea level (0.3 and 5%) and different fermentation times (30
and 44 days) on the chemical composition of sugarcane bagasse. The
experiment was conducted at the Hacienda "Puro Bravo", located in the
site "La Soledad", canton Junín, province of Manabí; geographically
located between the coordinates 56" 8" South latitude, 80º 11" 0"
West longitude and an altitude of 15 meters above sea level
(masl)(PDOT .2014).
The present experiment lasted three months, from the execution of the
project until the bromatological analyses were obtained.
FACTORS UNDER STUDY
FACTOR A: Urea levels (0, 3 and 5 %)
April - June vol. 2. Num. 2 - 2023
15
FACTOR B: Bagasse fermentation times (30 and 44 days)
EXPERIMENTAL DESIGN
A Completely Randomized Design with 3x2 Factorial Arrangement
was used, where Factor A was represented by the different levels of
urea inclusion (0, 3 and 5 %) and Factor B, cane bagasse fermentation
times (30 and 44 days). Each combination of these factors consisted of
three replicates.
The statistical model used was as follows:
yijk = µ + αi + βj + (αβ)ij + εijk
Where:
: k-th observation of the i-th level of factor A and j-th level of
factor B
General average.
Effect of the i-th level of factor A (inclusion of urea) i=1,2 and 3
Effect of the j-th level of factor B (Days of fermentation) j= 1 and 2
First-order interaction effect of the i-th level of factor A with the
j-th level of factor B.
Random effect or experimental error with zero mean and common
variance.
MANAGEMENT OF THE EXPERIMENTS
CHARACTERISTICS OF THE SUGARCANE BAGASSE SILAGE
PROCESSING SITE
The study was conducted between the months of January and May 2019
(harvest time), a shed was available that met the conditions and
characteristics to develop the Ammonification process such as:
protected from direct solar radiation, rodents and with a dry
ijk
Y
µ
i
a
j
b
ijk
e
Effect of different study factors on the in situ ruminal degradability of ammonified sugarcane
bagasse.
16
environment that favored the integral maintenance of the study
material; close to the milling equipment to develop the process of sugar
cane bagasse.
OBTAINING BAGASSE FROM SUGAR CANE
The sugarcane crop was selected with an age of six (6) months, material
that was harvested, collected and transported to the sugarcane mill for
the extraction of sugarcane juice; as a result of this process, sugarcane
bagasse was obtained and used as vegetative material.
AMMONIFICATION PROCESS WITH UREA
The nitrogen source used was agricultural urea (46% N), the
ammonification procedure consisted of filling the 20 kg containers with
the bagasse, then compacting it and moistening it in the urea-water
solution until the containers were full, the containers were covered and
hermetically sealed with packing tape to guarantee an anaerobic
environment.
The arrangement of the treatments, resulting from the combination of
the study factors, is as follows:
Percentage of Urea
Fermentation times (Days)
Urea 0% Urea
30
44
Urea 3%.
30
44
Urea 5%.
30
44
After the first 15 days, the containers were opened with their respective
treatments and days of fermentation, which allowed the ammoniated
material to be ventilated, guaranteeing the excessive elimination of
NH3.
The samples were obtained with their respective doses of urea and
fermentation times, and the drying and milling process was carried out.
One kg of ammonified sugarcane bagasse, per treatment, was
dehydrated for 72 hours, at temperatures between 45 and 60°, by means
of an artisanal machine belonging to the Production Department of the
April - June vol. 2. Num. 2 - 2023
17
Faculty of Veterinary Sciences. Once the aforementioned process was
completed, the weights of each sample were obtained to determine the
moisture value.
Materials and methods
After drying the sample, it was ground by means of a special blade mill
with sieves of 1 mm diameter for bromatological analysis and 2 mm for
degradation. Subsequently, the ground samples were placed in plastic
tetra pack bags duly labeled with date, quantity and characteristics of
the sample.
Once the ground treatments were obtained with their respective
treatments with the fermentation days, 1 kg of each of them were
weighed for the respective bromatological analysis.
Effect of urea level and different fermentation times on in situ ruminal
degradability of sugarcane bagasse dry matter.
The present experiment was carried out in the Department of Animal
Production of the Faculty of Veterinary Science of the Technical
University of Manabí, located in the Santa Ana canton, parish of
Lodana, geographically located in the east center of the province of
Manabí, at 1° 12'latitude South and 80° 22¨ longitude West. Its altitude
is 50 meters above sea level and its highest point reaches a height of
400 meters above sea level.
In Santa Ana, the rainy season is very hot, oppressive and cloudy and
the dry season is hot, sultry and partly cloudy. During the course of the
year, the temperature generally varies from 20 °C to 30 °C and rarely
drops below 19 °C or rises above 32 °C (ECURED, 2019).
The average temperature is 20.2 ºC, with an average annual
precipitation of 4222.7 mm, with the months of August y September
the driest and June y July the rainiest (ECURED, 2019).
The time taken for this research was about three (3) months in the field
(February - April).
The research was carried out at the animal production department of the
Technical University of Manabí, Faculty of Veterinary Sciences,
located in the Santa Ana canton, in the Lodana parish.
Effect of different study factors on the in situ ruminal degradability of ammonified sugarcane
bagasse.
18
Fistulated crossbred cattle were used for a period of 15 consecutive days
with a rest of one day for the inclusion of the samples.
In an analytical balance, 2.5 g of sample were weighed, ground to 2
mm, and each one was placed in a nylon bag previously labeled, which
were sealed with plastic ties, of each treatment to be analyzed, with
three repetitions, for its location in the rumen. Subsequently, they were
extracted from the rumen at 0, 3, 6, 12, 24, 48 and 72 hours,
respectively, with the different samples taken. Then, they were placed
in a cooler with ice, the cannula was closed, and the surroundings of the
cannula were washed with an iodine solution and with applications of
silver spray (bactrovet) to avoid contamination.
The samples were taken to the freezer and incubated. After 72 hours,
they were removed from the freezer and washed several times in a
washing machine until the residues were eliminated and the water was
colorless; this process was carried out for each of the hours and
treatments to be evaluated.
All the bags for the zero hour (0) were not introduced in the animal,
they were only included at the moment of washing the samples.
Subsequently, the samples were centrifuged, the moorings were
removed and they were taken to the oven for 24 hours at 105 °C. After
24 hours, the samples were weighed, then it was verified how much
they degraded in each time.
For the processing of the samples, the analysis used by (Orskov and
McDonald 1979) was used. The calculation of degradability was
carried out using the following formula:
Degradabilidad=
Mpre - Mpost
Mpre
!!𝑋!100
Where:
%DISMS: Percentage of in situ DM degradation.
Mpre: Pre-incubated matter
Mpost: Post-incubated matter
April - June vol. 2. Num. 2 - 2023
19
The data were analyzed through an Analysis of Variance. Differences
between the study and interaction factors were observed through
Tukey's Test at 5% probability, using the SAS statistical package
(2013). Descriptive statistics were also performed, taking into account
the mean (central tendency), standard deviation and coefficient of
variation (dispersion measures). The results were represented in tables
and graphs, bearing in mind the interest they reflect, according to the
objectives set.
3. Result
In the analysis of variance (Annex 6), a highly significant difference
was observed for the main factor urea (P<.0001), giving the best soluble
fraction value for the ammonification of sugarcane bagasse at 5% urea
(Table 4.3), which was 49.93%. The results obtained are similar to those
found in the study by Castellano et al. (2017)who conclude that the
average DIVMS values present a highly significant difference (P<0.01)
between urea levels. In addition, an increase of 11.17% of DIVMS was
observed when applying 6% urea (66.59%). In contrast, differences
were found for the effect of the origin of the panca. In another study by
Fuentes et al. (2001)reported values of 66.05, 71.50 and 71.94%
DIVMS when treating ground, chopped and whole corn stover,
respectively, with 4% ammonia over a period of 4 weeks in relation to
untreated stover (64.67% DIVMS). This is also corroborated with the
results of the study Tesfaye et al. (2006) observed that treatment with
5% urea increased DIVMS by 7.7%, in proportion to the untreated
pank.
In Figure 4.3, a significant direction change interaction (P> 0.0453) is
highlighted. The improvement in digestibility of highly fibrous
materials treated with urea can be attributed to the effect of ammonia
on the fiber cell walls. The results found in the study by Araiza et al.
(2013)in which it is indicated that the chemical action of ammonia
allows breaking the bonds of the structural complexes of cellulose and
hemicellulose, which favors greater quantity and availability of soluble
carbohydrates for ruminal microorganisms; as well as Reyes
(2018)found that the soluble or rapidly degradable fraction (A) of
ammonified peanut shells achieved values ranging between 50.68 and
53.19 %. The exposed results differ from reported by Araiza et al.
(2013)with higher values in corn and apple silages that were in the order
of 39.49 % and 42.53 %. These results show that the interaction is
Effect of different study factors on the in situ ruminal degradability of ammonified sugarcane
bagasse.
20
significant because the simple factor urea is affecting the study variable.
Table 2 Effect of different levels of urea 3 and 5% on in situ ruminal
degradability (%) of dry matter (DM) of ammonified sugarcane
bagasse.
UREA EFFECT
Parameters
0%
3%
5%
Pr > F
FS (%)
13,22c±3,13
44,57b±3,13
49,93a±3,13
<.0001
FI (%)
37,90a±1,36
26,04b±1,46
26,59b±0,71
<0.0045
TD (%)
0,04a±1,32
0,04a±1,08
0,03a±4,19
<0.7757
DE 2%.
3,93c±3,93
61,61b±5,56
65,17a±7,01
<.0001
DE 5%.
30,48c±4,82
55,95b±1,44
59,76a±0,98
<.0001
DE 8%.
26,28c±4,87
53,15b±1,54
57,25a±0,45
<.0001
FS: Soluble fraction; FI: Insoluble but potentially degradable fraction;
TD: Degradability rate; DE: Effective degradability.
a,b,c Different letters in the column differ statistically at 5 % (Tukey).
Table 3. Effect of different ammonification times (30 and 44) on in situ
ruminal degradability (%) of dry matter (DM) of ammonified
sugarcane bagasse.
EFFECT OF AMMONIFICATION TIME
Parameters
30
44
Pr > F
FS (%)
35,11a ± 6.18
36,71a ± 5.39
0.1963
FI (%)
29,04a ± 2.93
31,32a ± 2.66
0.3999
TD (%)
0,04a ± 2.57
0,031b ± 2.80
0.0051
DE 2%.
55,73a ± 4.14
54,74b ± 6.42
0.0507
DE 5%.
49,38a ± 5.12
48,08b ± 4.68
0.0162
DE 8%.
46,06a ± 4.80
45,05a ± 6.73
0.1118
FS: Soluble fraction; FI: Insoluble but potentially degradable fraction;
TD: Degradability rate; DE: Effective degradability.
a,b,c Different letters in the column differ statistically at 5 % (Tukey).
April - June vol. 2. Num. 2 - 2023
21
The insoluble but potentially degradable fraction was highly significant
in the analysis of variance (P 0.0045) only for the simple factor urea
(Annex 7). Urea at 3% and 5% were statistically equal with values of
26.04 and 26.59, respectively, demonstrating a numerical difference
(Table 4.3).
In the analysis of variance, a highly significant difference was observed
for the study factor time (Annex 8), with the lowest degradability rate
(day 44) with a value of 0.031% (Table 4.3). These results contrast with
those of Reyes (2018)who corroborates that degradation rates lower
than 0.02*h-1 are characteristic of low quality feeds that need more
time in the rumen for degradation. Another study that differs from the
results obtained are those of Araiza et al. (2013)which shows that
degradation rates are higher than those reported for corn silage with
0.039*h-1, except in treatment four with 9% urea, which obtained
0.02*h-1.
Effective degradability at 2, 5 and 8%.
Effective degradability at 2%.
The analysis of variance (Annex 9) for this variable was highly
significant for the simple urea effect (P 0.0001), as was the interaction
with (P 0.0001). The analysis of variance (Annex 11) for this variable
was highly significant for the simple urea effect (P 0.0001), as was the
interaction with (P 0.0002).
These results are similar to those reported by Luna. (2017)for whom
chemical treatment with different levels of urea improved digestibility
using 4 % ammonia in corn stover and wheat bran. Similarly, Saadullah
et al. (1980) and Fondevila et al. (1994)(1994) corroborate the above,
reporting that the treatment of straw with 3 ± 5 % urea increased dry
matter digestibility by 11 ± 15 %, which could be attributed to the
decrease in neutral detergent fiber content.
4. Conclusions
Based on the literature consulted and the results obtained in the present
bromatological study, concerning the operational aspects to evaluate the
in situ degradation of ammonified sugarcane bagasse silage to supplement
the diet of cattle in times of drought, the following conclusions can be
Effect of different study factors on the in situ ruminal degradability of ammonified sugarcane
bagasse.
22
drawn:
The rumen degradation rate remained constant at all urea inclusion
levels, which is very important in ruminant feeding, taking into
consideration that high degradability rates can cause digestive
problems.
References
Broom LJ, Kogut MH (2018) Inflammation: friend or foe for animal
production? Poultry Science 97 (2):510-514.
Broom LJ, Kogut MH (2018). The role of the gut microbiome in
shaping the immune system of chickens. Vet Immunol
Immunopathol 204:44-51.
https://doi.org/10.1016/j.vetimm.2018.10.002.
Ducatelle R, Eeckhaut V, Haesebrouck F, van Immerseel F (2015). A
review on prebiotics and probiotics for the control of dysbiosis.
Present status and future perspectives. Animal 9 (1):43-48.
https://doi.org/10.1017/S1751731114002584
Ducatelle R, Goossens E, de Meyer F, Eeckhaut V, Antonissen G,
Haesebrouck F, van Immerseel F (2018). Biomarkers for
monitoring intestinal health in poultry. Present status and future
perspectives. Veterinary research 49(1):43.
https://doi.org/10.1186/s13567-018-0538-6
Garcia-Mazcorro, J. F., & Suchodolski, J. S. (2017). Investigation of
the microbiome in canine and feline gastrointestinal diseases.
Animal Health Research Reviews, 18(2), 93-108. doi:
10.1017/S1466252317000141.
Garcia-Mazcorro, J. F., & Dowd, S. E. (2011). The canine
gastrointestinal microbiome: a review. Journal of veterinary
internal medicine, 25(1), 1-10. doi: 10.1111/j.1939-
1676.2010.0658.x.
Gómez, D. E., Arroyo, L. G., Costa, M. C., Viel, L., & Weese, J. S.
(2015). Characterization of the fecal bacterial microbiota of
healthy and diarrheic dairy calves. Journal of Veterinary Internal
Medicine, 29(5), 1564-1572. doi: 10.1111/jvim.13617.
April - June vol. 2. Num. 2 - 2023
23
Guevarra RB, Lee JH, Lee SH, Seok M-J, Kim DW, Kang BN et al
(2019). Piglet gut microbial shifts early in life: causes and effects.
Journal of animal science and biotechnology 10:1.
https://doi.org/10.1186/ s40104-018-0308-3.
Handl, S., Dowd, S. E., Garcia-Mazcorro, J. F., Steiner, J. M., &
Suchodolski, J. S. (2011). Massive parallel 16S rRNA gene
pyrosequencing reveals highly diverse fecal bacterial and fungal
communities in healthy dogs and cats. FEMS Microbiology
Ecology, 76(2), 301-310. https://doi.org/10.1111/j.1574-
6941.2011.01058.x.
Kogut M, & Zhang G. Gut Microbiota, Immunity, and Health in
Production Animals. 1st ed: Springer. New York (EU). 2022.
Koppel, N., Maini Rekdal, V., & Balskus, E. P. (2019). Chemical
transformation of xenobiotics by the human gut microbiota.
Frontiers in veterinary science, 6, 153. doi:
10.3389/fvets.2019.00153.
Li, Q., Lauber, C. L., Czarnecki-Maulden, G., Pan, Y., Hannah, S. S.,
Schacht, E., ... & Ackermann, M. R. (2017). Effects of the dietary
protein and carbohydrate ratio on gut microbiomes in dogs of
different body conditions. mBio, 8(1), e01703-16. doi:
10.1128/mBio.01703-16.
McFarland LV (2014). Use of probiotics to correct dysbiosis of normal
microbiota following disease or disruptive events. A systematic
review. BMJ Open 4(8):e005047. https://doi.org/10.1136/
bmjopen-2014-005047.
Middelbos, I. S., Vester Boler, B. M., Qu, A., White, B. A., Swanson,
K. S., & Fahey Jr, G. C. (2010). Phylogenetic characterization of
fecal microbial communities of dogs fed diets with or without
supplemental dietary fiber using 454 pyrosequencing. PloS One,
5(3), e9768. https://doi.org/10.1371/journal.pone.0009768.
Pitta DW, Kumar S, Vecchiarelli B, Shirley DJ, Bittinger K, Baker LD,
Ferguson JD, Thomsen N (2014) Temporal dynamics in the
ruminal microbiome of dairy cows during the transition period.
Journal of Animal Science 92(9):4014-4022.
https://doi.org/10.2527/jas.2014-7621
Effect of different study factors on the in situ ruminal degradability of ammonified sugarcane
bagasse.
24
Rochus, K., Janssens, G. P., Hesta, M., & Debraekeleer, J. (2018).
Effect of probiotics and prebiotics on the canine gastrointestinal
tract and their interactions with the host. Journal of animal
physiology and animal nutrition, 102(3), 601-617. doi:
10.1111/jpn.12838.
Ross, G. R., Gusils, C., Fondevila, M., & Signorini, M. L. (2015).
Intestinal microbiota and immune system of piglets: influence of
enterococcus faecium cernelle 68 supplementation. Archives of
Microbiology, 197(2), 185-193. doi: 10.1007/s00203-014-1058-
8antibióticos.
Rossi, G., Pengo, G., Caldin, M., Piccionello, A. P., Steiner, J. M., &
Cohen, N. D. (2014). Comparison of microbiological,
histological, and immunomodulatory parameters in response to
treatment with either combination therapy with prednisone and
metronidazole or probiotic VSL# 3 strains in dogs with idiopathic
inflammatory bowel disease. PloS one, 9(4), e94699.
https://doi:10.1371/journal.pone.0094699
Sassone-Corsi M, Raffatellu M (2015). No vacancy: how beneficial
microbes cooperate with immunity to provide colonization
resistance to pathogens. The Journal of Immunology 194:4081-
4087.
Silva MLF, Lima JAF, Cantarelli VS, Amaral NO, Zangerônimo MG,
Fialho ET (2010). Probiotics and antibiotics as additives for sows
and piglets during nursery phase. Revista Brasileira de Zootecnia
39:2453-2459. https://doi.org/10.1590/S1516-
35982010001100019
Stanley D, Geier MS, Denman SE, Haring VR, Crowley TM, Hughes
RJ et al (2013). Identification of chicken intestinal microbiota
correlated with the efficiency of energy extraction from feed.
Veterinary microbiology 164(1-2):85-92.
Suchodolski, J. S. (2011). Intestinal microbiota of dogs and cats: A
bigger world than we thought. Veterinary Clinics of North
America: Small Animal Practice, 41(2), 261-272.
https://doi.org/10.1016/j.cvsm.2010.12.006
April - June vol. 2. Num. 2 - 2023
25
Suchodolski, J. S. (2016). Diagnosis and interpretation of intestinal
dysbiosis in dogs and cats. Journal of Veterinary Internal
Medicine, 30(4), 927-941. DOI: 10.1111/jvim.13975.
Suchodolski, J. S. (2016). Diagnosis and interpretation of intestinal
dysbiosis in dogs and cats. Minamoto, Y., Hooda, S., Swanson,
K. S., & Suchodolski, J. S. (2012). Fecal microbiota in healthy
dogs and dogs with chronic inflammatory enteropathy.
Veterinary microbiology, 160(3-4), 353-359. doi:
10.1016/j.vetmic.2012.06.021.
Van den Abbeele, P., Belzer, C., Goossens, M., Kleerebezem, M., De
Vos, W. M., Thas, O., ... & Verstraete, W. (2013). Butyrate-
producing Clostridium cluster XIVa species specifically colonize
mucins in an in vitro gut model. The ISME journal, 7(5), 949-961.
doi: 10.1038/ismej.2012.158.
Videnska P, Faldynova M, Juricova H et al (2013) Chicken faecal
microbiota and disturbances induced by single or repeated
therapy with tetracycline and streptomycin. BMC veterinary
research 9:30. https://doi.org/10.1186/1746-6148-9-30.
https://doi.org/10.1186/1746-6148-9-30
Zeng, M. Y., Inohara, H., & Katoh, K. (2017). The gut microbiome as
a therapeutic target in inflammatory bowel disease. Inflammatory
bowel diseases, 23(8), 1327-1339. https://doi:
10.1097/MIB.0000000000001117