Abstract
Small intestinal bacterial overgrowth (SIBO) was described many years ago as an important cause of maldigestion and malabsorption among individuals who had undergone upper gastrointestinal surgery or had some other major anatomical anomaly or motility disorder of the small intestine. More recently the definition of SIBO has been extended to a much larger patient population - individuals who would otherwise be classified as a functional gastrointestinal disorder but who have tested positive for SIBO, usually on the basis of a breath test. This extension of the concept of SIBO is problematic as it assumes that the available tests to diagnose SIBO are accurate, which they are not. The challenges that the diagnosis and management of this disorder pose will be explored.
Original language | English (US) |
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Title of host publication | Essential Medical Disorders of the Stomach and Small Intestine |
Subtitle of host publication | A Clinical Casebook |
Publisher | Springer International Publishing |
Pages | 417-436 |
Number of pages | 20 |
ISBN (Electronic) | 9783030011178 |
ISBN (Print) | 9783030011161 |
DOIs | |
State | Published - Jan 1 2019 |
Keywords
- Breath hydrogen test
- Irritable bowel syndrome
- Jejunal aspiration
- Microbiota
- Rifaximin
- Small intestinal bacterial overgrowth
ASJC Scopus subject areas
- Medicine(all)