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Dig Dis Sci: 胃排空延迟与小肠细菌过度生长无关

2021-01-14 MedSci原创 MedSci原创

小肠细菌过度生长(SIBO)造成的胃肠道症状很广,可能包括恶心,腹痛,腹胀和早饱,也可能与胃轻瘫的症状重叠。几项研究已经表明,胃排空延迟和小肠转运障碍可能导致

      小肠细菌过度生长(SIBO)造成的胃肠道症状很广,可能包括恶心,腹痛,腹胀和早饱,也可能与胃轻瘫的症状重叠。几项研究已经表明,胃排空延迟和小肠转运障碍可能导致患者SIBO的发生。但是,这些研究通常依靠间接呼气测试方法来诊断SIBO。而本项研究的目的是检查SIBO的微生物学诊断与闪烁显像法在诊断SIBO和延迟胃排空之间的关系。

 

 

      本项研究为回顾性研究,研究人员确定了73位通过闪烁显像术进行了胃排空研究诊断的参与者。根据空肠抽吸物的培养结果,对患者进行了SIBO的微生物学诊断。使用胃轻瘫基本症状指数(GCSI)评分评估临床症状,同时研究人员比较了有或没有微生物诊断为SIBO的患者之间的胃排空延迟,2和4小时胃潴留以及胃轻瘫症状。

 

 

     结果显示在诊断有SIBO的29位参与者和没有SIBO的44位参与者中,有33位(45%)存在胃排空延迟。 SIBO的微生物学诊断与闪烁显像仪显示的胃排空延迟之间无显着相关性。有和无SIBO者在2小时和4小时的胃潴留百分率,总GCSI评分无显着差异。

 

      因此,临床上尽管怀疑SIBO的患者与胃排空延迟有关,但实验证实胃排空与SIBO的微生物学诊断无关。

 

 

原始出处:

Gerardo Calderon. Et al. Delayed Gastric Emptying Is Not Associated with a Microbiological Diagnosis of Small Intestinal Bacterial Overgrowth. Digestive Diseases and Sciences.2021.

 

 

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    2021-08-29 贵阳
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    2021-08-12 zhaojie88
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    2021-01-15 Baodongxu

    “证不存”#肠道微生物#

    0

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    2021-01-15 我们的祖国像花园

    学习了

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    2021-01-15 飞翔的乌龟

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    2021-01-14 薄荷糖OOO

    #学习#学习

    0

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