Treatment strategies for small bowel bacterial overgrowth in short bowel syndrome
| Autor: | Rosemary J. Young, Stuart S. Kaufman, Jon A. Vanderhoof, Nancy D. Murray |
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| Rok vydání: | 1998 |
| Předmět: |
Male
Short Bowel Syndrome medicine.medical_specialty Parenteral Nutrition Hypertonic Solutions Therapeutic irrigation Gastroenterology law.invention Probiotic Electrolytes law Enterocolitis Necrotizing Internal medicine Intestine Small medicine Humans Therapeutic Irrigation Enterocolitis Gastroschisis Bacteria business.industry Probiotics digestive oral and skin physiology medicine.disease Short bowel syndrome Surgery Anti-Bacterial Agents Lactobacillus Parenteral nutrition Child Preschool Pediatrics Perinatology and Child Health Necrotizing enterocolitis Female medicine.symptom Complication business Whole bowel irrigation Intestinal Obstruction |
| Zdroj: | Journal of pediatric gastroenterology and nutrition. 27(2) |
| ISSN: | 0277-2116 |
| Popis: | Background: Small bowel bacterial overgrowth is a common complication of short bowel syndrome, and although it is often controlled with antimicrobial therapy, alternative strategies may occasionally be needed. Methods: Six patients with bacterial overgrowth are described, who did not respond to antimicrobial therapy and required additional medical or surgical measures to control the overgrowth. Results: Recalcitrant bacterial overgrowth was successfully treated with periodic small bowel irrigation with a balanced hypertonic electrolyte solution, colonic flushes, encouraging frequent stooling, intestinal lengthening procedure, or probiotic therapy with Lactobacillus plantarum 299V and Lactobacillus GG. Conclusions: Small bowel bacterial overgrowth should be aggressively evaluated in patients with short bowel syndrome who are not progressing in a normal manner. Inadequate or incomplete response to antibiotic therapy is common, and several additional treatment possibilities are available. |
| Databáze: | OpenAIRE |
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