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Digestive Diseases and Sciences

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10.10.2020 | Invited Review

Small Intestinal Bacterial Overgrowth Syndrome: A Guide for the Appropriate Use of Breath Testing

verfasst von: Benson T. Massey, Arnold Wald

Erschienen in: Digestive Diseases and Sciences | Ausgabe 2/2021

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Abstract

The increased availability of noninvasive breath tests, each with limitations, has led to widespread testing for small intestinal bacterial overgrowth (SIBO) in patients with non-specific gastrointestinal complaints. The lactulose breath test (LBT) is based upon an incorrect premise and therefore incorrect interpretations which has resulted in the over-diagnosis of SIBO and the excessive use of antibiotics in clinical practice. Despite limitations, the glucose breath test (GBT) should be exclusively employed when considering SIBO in appropriately chosen patients. This review suggests guidelines for the optimal use and appropriate interpretation of the GBT for suspected SIBO. The LBT should be discarded from future use, and the literature based upon the LBT should be discounted accordingly.

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Titel: Small Intestinal Bacterial Overgrowth Syndrome: A Guide for the Appropriate Use of Breath Testing
verfasst von: Benson T. Massey
Arnold Wald
Publikationsdatum: 10.10.2020
Verlag: Springer US
Erschienen in: Digestive Diseases and Sciences / Ausgabe 2/2021
Print ISSN: 0163-2116
Elektronische ISSN: 1573-2568
DOI: https://doi.org/10.1007/s10620-020-06623-6

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