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小肠细菌过度生长:营养影响、诊断和管理。

Small Intestinal Bacterial Overgrowth: Nutritional Implications, Diagnosis, and Management.

机构信息

Division of Gastroenterology and Hepatology, Mayo Clinic, 13400 East Shea Boulevard, Scottsdale, AZ 85259, USA.

Division of Gastroenterology and Hepatology, Mayo Clinic, 13400 East Shea Boulevard, Scottsdale, AZ 85259, USA.

出版信息

Gastroenterol Clin North Am. 2018 Mar;47(1):193-208. doi: 10.1016/j.gtc.2017.09.008. Epub 2017 Dec 7.

DOI:10.1016/j.gtc.2017.09.008
PMID:29413012
Abstract

Small intestinal bacterial overgrowth (SIBO), characterized by the presence of excessive bacteria in the small intestine, is typically described as a malabsorptive syndrome occurring in the context of gut stasis syndromes. SIBO is now considered to be a disorder associated with diverse clinical conditions without classic risk factors for SIBO and a cause of several nonspecific gastrointestinal and nongastrointestinal symptoms. Because there is currently no gold standard for diagnosing SIBO, its prevalence and role in the pathogenesis of other diseases remain uncertain; as does optimal treatment of patients with relapsing symptoms.

摘要

小肠细菌过度生长(SIBO)的特征是小肠内存在过多的细菌,通常被描述为一种在肠道停滞综合征背景下发生的吸收不良综合征。SIBO 现在被认为是一种与多种临床情况相关的疾病,没有 SIBO 的典型危险因素,也是一些非特异性胃肠道和非胃肠道症状的原因。由于目前没有诊断 SIBO 的金标准,其在其他疾病发病机制中的患病率和作用仍然不确定;复发症状患者的最佳治疗方法也是如此。

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