Small Intestinal Bacterial Overgrowth: How to Diagnose and Treat (and Then Treat Again).
Small Intestinal Bacterial Overgrowth: How to Diagnose and Treat (and Then Treat Again).
Gastroenterol Clin North Am. 2020 Sep;49(3):571-587
Authors: Ginnebaugh B, Chey WD, Saad R
Abstract
Small intestinal bacterial overgrowth (SIBO) is a condition with presentation that can vary from asymptomatic to steatorrhea and malnutrition. Small bowel aspiration and culture is the current gold standard of diagnosis; however, this is invasive and is not without risk to the patient. Breath testing is a noninvasive and less expensive alternative method; however, it lacks diagnostic sensitivity and specificity. Novel diagnostic methods being studied include gas-sensing capsules. The mainstay of treatment is antibiotics; alternative therapies include herbal medications, dietary modifications, and prokinetic agents. Further investigation into less invasive and less harmful diagnostic methods and treatment options is warranted.
PMID: 32718571 [PubMed - in process]
Source: The Medical Clinics of North America - Category: General Medicine Authors: Ginnebaugh B, Chey WD, Saad R Tags: Gastroenterol Clin North Am Source Type: research
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