Year 2021 / Volume 113 / Number 6
Original
Management of small intestinal bacterial overgrowth by pediatric gastroenterologists in Spain

436-441

DOI: 10.17235/reed.2020.7582/2020

Rafael Martín-Masot, Manuel Molina Arias, Juan José Díaz Martín, María Luz Cilleruelo Pascual, Carolina Gutiérrez Junquera, Ester Donat, Enriqueta Román Riechmann, Víctor M. Navas-López,

Abstract
Background: small intestinal bacterial overgrowth (SIBO) is a heterogeneous condition with nonspecific symptoms. This study aimed to report its management by pediatric gastroenterologists in Spain. Methods: a descriptive study was performed by means of a survey sent to 184 active members of the Spanish Society of Pediatric Gastroenterology, Hepatology and Nutrition (SEGHNP). Results: one hundred and forty-eight responses (80.4 %) were received. Forty-four patients had no predisposing condition, 31.1 % used antibiotics followed by probiotics, 33.1 % antibiotherapy concomitant with probiotics, 24.3 % only antibiotics and 10.8 % only probiotics. The diagnosis was established via clinical parameters in 73.8 % of participants and the therapeutic response was checked only by clinical data in 90 %. Conclusions: there is high variability in the management of SIBO among pediatric population in Spain.
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References
1. Shimura S, Ishimura N, Mikami H, et al. Small intestinal bacterial overgrowth in patients with refractory functional gastrointestinal disorders. J. Neurogastroenterol. Motil. 2016;22:60–8. doi:10.5056/jnm15116.
2. Cares K, Al-Ansari N, MacHa S, et al. Short article: Risk of small intestinal bacterial overgrowth with chronic use of proton pump inhibitors in children. Eur. J. Gastroenterol. Hepatol. 2017;29:396–9.doi:10.1097/MEG.0000000000000815.
3. Siddiqui I, Ahmed S, Abid S. Update on diagnostic value of breath test in gastrointestinal and liver diseases. World J. Gastrointest. Pathophysiol. 2016;7:256. doi:10.4291/wjgp.v7.i3.256.
4. Sieczkowska A, Landowski P, Kaminska B, et al. Small Bowel Bacterial Overgrowth in Children. J. Pediatr. Gastroenterol. Nutr. 2016;62:196–207. doi:10.1097/MPG.0000000000000920.
5. Román E, Cilleruelo M. Síndrome de sobredesarrollo bacteriano. In: Ergon, editor. Tratamiento en Gastroenterología, Hepatología y Nutrición Pediátrica. 2016. page 343–53.
6. Harris PA, Taylor R, Thielke R, et al. Research electronic data capture (REDCap)-A metadata-driven methodology and workflow process for providing translational research informatics support. J. Biomed. Inform. 2009;42:377–81. doi:10.1016/j.jbi.2008.08.010.
7. Shimura S, Ishimura N, Mikami H, et al. Small Intestinal Bacterial Overgrowth in Patients with Refractory Functional Gastrointestinal Disorders. J. Neurogastroenterol. Motil. 2015;22:60–8. doi:10.5056/jnm15116.
8. Rezaie A, Buresi M, Lembo A, et al. Hydrogen and Methane-Based Breath Testing in Gastrointestinal Disorders: The North American Consensus. Am. J. Gastroenterol. 2017;112:775–84. doi:10.1038/ajg.2017.46.
9. Tahan S, Melli LCFL, Mello CS, et al. Effectiveness of trimethoprim-sulfamethoxazole and metronidazole in the treatment of small intestinal bacterial overgrowth in children living in a slum. J. Pediatr. Gastroenterol. Nutr. 2013;57:316–8. doi:10.1097/MPG.0b013e3182952e93.
10. Scarpellini E, Giorgio V, Gabrielli M, et al. Rifaximin treatment for small intestinal bacterial overgrowth in children with irritable bowel syndrome: A preliminary study. Eur. Rev. Med. Pharmacol. Sci. 2013;17:1314–20. doi:10.1016/s0016-5085(11)63101-6.
11. Collins BS, Lin HC. Double-blind, placebo-controlled antibiotic treatment study of small intestinal bacterial overgrowth in children with chronic abdominal pain. J. Pediatr. Gastroenterol. Nutr. 2011;52:382–6. doi:10.1097/MPG.0b013e3181effa3b.
12. Shah SC, Day LW, Somsouk M, et al. Meta-analysis: Antibiotic therapy for small intestinal bacterial overgrowth. Aliment. Pharmacol. Ther. 2013;38:925–34. doi:10.1111/apt.12479.
13. Gatta L, Scarpignato C, McCallum RW, et al. Systematic review with meta-analysis: rifaximin is effective and safe for the treatment of small intestine bacterial overgrowth. Aliment. Pharmacol. Ther.2017;45:604–16. doi: 10.1111/apt.13928
14. Zhong C, Qu C, Wang B, et al. Probiotics for Preventing and Treating Small Intestinal Bacterial Overgrowth. J. Clin. Gastroenterol.2017;51:300–11. doi: 10.1097/MCG.0000000000000814.
15. Dionne J, Ford AC, Yuan Y, et al. A Systematic Review and Meta-Analysis Evaluating the Efficacy of a Gluten-Free Diet and a Low FODMAPs Diet in Treating Symptoms of Irritable Bowel Syndrome. Am. J. Gastroenterol.2018;113:1290–300. doi: 10.1038/s41395-018-0195-4.
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Martín-Masot R, Molina Arias M, Díaz Martín J, Cilleruelo Pascual M, Gutiérrez Junquera C, Donat E, et all. Management of small intestinal bacterial overgrowth by pediatric gastroenterologists in Spain. 7582/2020


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Publication history

Received: 10/10/2020

Accepted: 31/10/2020

Online First: 29/12/2020

Published: 04/06/2021

Article revision time: 11 days

Article Online First time: 80 days

Article editing time: 237 days


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