ACG Clinical Guideline: Small Intestinal Bacterial Overgrowth

被引:249
作者
Pimentel, Mark [1 ]
Saad, Richard J. [2 ]
Long, Millie D. [3 ]
Rao, Satish S. C. [4 ]
机构
[1] Cedars Sinai Med Ctr, Medically Associated Sci & Technol MAST Program, Los Angeles, CA 90048 USA
[2] Univ Michigan, Michigan Med, Ann Arbor, MI 48109 USA
[3] Univ N Carolina, Div Gastroenterol & Hepatol, Chapel Hill, NC 27515 USA
[4] Augusta Univ, Div Gastroenterol Hepatol, Augusta, GA USA
关键词
IRRITABLE-BOWEL-SYNDROME; FECAL MICROBIOTA TRANSPLANTATION; BREATH TEST; METHANOBREVIBACTER-SMITHII; DOUBLE-BLIND; RISK-FACTORS; LARGE-SCALE; PREVALENCE; METHANE; SIBO;
D O I
10.14309/ajg.0000000000000501
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Small intestinal bacterial overgrowth is defined as the presence of excessive numbers of bacteria in the small bowel, causing gastrointestinal symptoms. This guideline statement evaluates criteria for diagnosis, defines the optimal methods for diagnostic testing, and summarizes treatment options for small intestinal bacterial overgrowth. This guideline provides an evidence-based evaluation of the literature through the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) process. In instances where the available evidence was not appropriate for a formal GRADE recommendation, key concepts were developed using expert consensus.
引用
收藏
页码:165 / 178
页数:14
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