Elphick Heather L, Elphick David A, Sanders David S
Royal Hallamshire Hospital, Sheffield, UK.
Geriatrics. 2006 Sep;61(9):21-6.
Small bowel bacterial overgrowth (SBBO) is an important and under-recognized clinical syndrome in the elderly. It is the most common cause of malabsorption among older adults. Presentation of SBBO syndrome is often occult, which makes it imperative to maintain a high index of suspicion for this disorder. When symptomatic bacterial overgrowth is appropriately identified and treated there can be positive dramatic results. This article discusses the importance of considering a diagnosis of bacterial overgrowth in those predisposed to its development and the mechanisms by which nutrient malabsorption occurs. Signs and symptoms of bacterial overgrowth, differential diagnosis, investigation, and current treatment options are discussed.
小肠细菌过度生长（SBBO）是老年人中一种重要但未得到充分认识的临床综合征。它是老年人吸收不良最常见的原因。SBBO综合征的表现往往隐匿，这使得对该疾病保持高度怀疑指数至关重要。当有症状的细菌过度生长得到恰当识别和治疗时，会产生显著的积极效果。本文讨论了在易患细菌过度生长的人群中考虑该诊断的重要性以及营养吸收不良发生的机制。还讨论了细菌过度生长的体征和症状、鉴别诊断、检查及当前的治疗选择。
