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Prevalence of small intestinal bacterial overgrowth in intestinal failure syndrome: A systematic review and meta-analysis.
Shah, Ayesha; Fairlie, Thomas; Morrison, Mark; Martin, Neal; Hammer, Karin; Hammer, Johann; Koloski, Natasha; Rezaie, Ali; Pimentel, Mark; Kashyap, Purna; Jones, Michael P; Holtmann, Gerald.
Afiliação
  • Shah A; Faculty of Medicine, University of Queensland, Brisbane, Queensland, Australia.
  • Fairlie T; Department of Gastroenterology and Hepatology, Princess Alexandra Hospital, Brisbane, Queensland, Australia.
  • Morrison M; Translational Research Institute, Brisbane, Queensland, Australia.
  • Martin N; Faculty of Medicine, University of Queensland, Brisbane, Queensland, Australia.
  • Hammer K; Department of Gastroenterology and Hepatology, Princess Alexandra Hospital, Brisbane, Queensland, Australia.
  • Hammer J; Translational Research Institute, Brisbane, Queensland, Australia.
  • Koloski N; Faculty of Medicine, University of Queensland, Brisbane, Queensland, Australia.
  • Rezaie A; Department of Gastroenterology and Hepatology, Princess Alexandra Hospital, Brisbane, Queensland, Australia.
  • Pimentel M; Faculty of Medicine, Frazer Institute, University of Queensland, Woolloongabba, Queensland, Australia.
  • Kashyap P; Faculty of Medicine, University of Queensland, Brisbane, Queensland, Australia.
  • Jones MP; Department of Gastroenterology and Hepatology, Princess Alexandra Hospital, Brisbane, Queensland, Australia.
  • Holtmann G; St. Anna Kinderspital, Medical University of Vienna, Vienna, Austria.
Article em En | MEDLINE | ID: mdl-38934370
ABSTRACT
BACKGROUND AND

AIM:

Patients with intestinal failure (IF) have abnormal intestinal anatomy, secretion, and dysmotility, which impairs intestinal homeostatic mechanisms and may lead to small intestinal bacterial overgrowth (SIBO). We conducted a systematic review and meta-analysis to determine the prevalence of SIBO in patients with IF and to identify risk factors for SIBO.

METHODS:

MEDLINE (PubMed) and Embase electronic databases were searched from inception to December 2023 for studies that reported the prevalence of SIBO in IF. The prevalence rates, odds ratio (OR), and 95% confidence intervals of SIBO in IF and the risk factors for SIBO in IF were calculated using random effects model.

RESULTS:

Final dataset included nine studies reporting on 407 patients with IF. The prevalence of SIBO in IF was 57.5% (95% CI 44.6-69.4), with substantial heterogeneity in this analysis (I2 = 80.9, P = 0.0001). SIBO prevalence was sixfold higher in patients with IF who received parenteral nutrition (PN) compared with IF patients not on PN (OR = 6.0, 95% CI 3.0-11.9, P = 0.0001). Overall, the prevalence of SIBO in patients with IF using PPI/acid-suppressing agents (72.0%, 95% CI 57.5-83.8) was numerically higher compared with IF patients not using these agents (47.6%, 95% CI 25.7-70.2).

CONCLUSIONS:

This systematic review and meta-analysis suggests that there is an increased risk of SIBO in patients with IF and that PN, and potentially, the use of PPI/acid-suppressing agents is risk factors for SIBO development in patients with IF. However, the quality of evidence is low and can be attributed to lack of case-control studies and clinical heterogeneity seen in the studies.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Ano de publicação: 2024 Tipo de documento: Article