Sobrecrecimiento bacteriano intestinal en pacientes con pancreatitis crónica

Background: Previous reports describe 30-40% of small intestine bacterial overgrowth (SIBO) in patients with chronic pancreatitis (CP), SIBO is a cause of persistent symptoms in this group of patients even when they are treated with pancreatic enzymes. Aim: To asses the frequency of SIBO in patients...

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Autores principales:	Mancilla A,Carla, Madrid S,Ana María, Hurtado H,Carmen, Orellana B,Carolina, Peña Z,Margarita, Tobar A,Eduardo, Berger F,Zoltán
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2008
Materias:	Gastrointestinal contents Malabsorption syndrome Pancreatitis, chronic
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008000800003
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spelling	oai:scielo:S0034-988720080008000032009-01-23Sobrecrecimiento bacteriano intestinal en pacientes con pancreatitis crónicaMancilla A,CarlaMadrid S,Ana MaríaHurtado H,CarmenOrellana B,CarolinaPeña Z,MargaritaTobar A,EduardoBerger F,Zoltán Gastrointestinal contents Malabsorption syndrome Pancreatitis, chronic Background: Previous reports describe 30-40% of small intestine bacterial overgrowth (SIBO) in patients with chronic pancreatitis (CP), SIBO is a cause of persistent symptoms in this group of patients even when they are treated with pancreatic enzymes. Aim: To asses the frequency of SIBO in patients with CP. Patients and methods: We studied 14 patients with CP using an hydrogen breath test with lactulose to detect SIBO, a nonabsorbable carbohydrate, whose results are not influenced by the presence of exocrine insufficiency. Main symptoms and signs were bloating in 9 (64%), recurrent abdominal pain in 8 (57%), intermittent diarrhea in 5 (36%) and steatorrhea in 5 (36%). At the same time we studied a healthy control group paired by age and sex. Results: SIBO was present in 13 of 14 patients with CP (92%) and in 1 of 14 controls (p<0.001). The only patient with CP and without SIBO was recently diagnosed and had minimal morphologic alterations in computed tomography and endoscopic pancreatography Conclusions: SIBO is common in CP and may be responsible for persistent symptoms. Proper diagnosis and treatment could alleviate symptoms andimprove quality of Ufe.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.136 n.8 20082008-08-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008000800003es10.4067/S0034-98872008000800003
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Gastrointestinal contents Malabsorption syndrome Pancreatitis, chronic
spellingShingle	Gastrointestinal contents Malabsorption syndrome Pancreatitis, chronic Mancilla A,Carla Madrid S,Ana María Hurtado H,Carmen Orellana B,Carolina Peña Z,Margarita Tobar A,Eduardo Berger F,Zoltán Sobrecrecimiento bacteriano intestinal en pacientes con pancreatitis crónica
description	Background: Previous reports describe 30-40% of small intestine bacterial overgrowth (SIBO) in patients with chronic pancreatitis (CP), SIBO is a cause of persistent symptoms in this group of patients even when they are treated with pancreatic enzymes. Aim: To asses the frequency of SIBO in patients with CP. Patients and methods: We studied 14 patients with CP using an hydrogen breath test with lactulose to detect SIBO, a nonabsorbable carbohydrate, whose results are not influenced by the presence of exocrine insufficiency. Main symptoms and signs were bloating in 9 (64%), recurrent abdominal pain in 8 (57%), intermittent diarrhea in 5 (36%) and steatorrhea in 5 (36%). At the same time we studied a healthy control group paired by age and sex. Results: SIBO was present in 13 of 14 patients with CP (92%) and in 1 of 14 controls (p<0.001). The only patient with CP and without SIBO was recently diagnosed and had minimal morphologic alterations in computed tomography and endoscopic pancreatography Conclusions: SIBO is common in CP and may be responsible for persistent symptoms. Proper diagnosis and treatment could alleviate symptoms andimprove quality of Ufe.
author	Mancilla A,Carla Madrid S,Ana María Hurtado H,Carmen Orellana B,Carolina Peña Z,Margarita Tobar A,Eduardo Berger F,Zoltán
author_facet	Mancilla A,Carla Madrid S,Ana María Hurtado H,Carmen Orellana B,Carolina Peña Z,Margarita Tobar A,Eduardo Berger F,Zoltán
author_sort	Mancilla A,Carla
title	Sobrecrecimiento bacteriano intestinal en pacientes con pancreatitis crónica
title_short	Sobrecrecimiento bacteriano intestinal en pacientes con pancreatitis crónica
title_full	Sobrecrecimiento bacteriano intestinal en pacientes con pancreatitis crónica
title_fullStr	Sobrecrecimiento bacteriano intestinal en pacientes con pancreatitis crónica
title_full_unstemmed	Sobrecrecimiento bacteriano intestinal en pacientes con pancreatitis crónica
title_sort	sobrecrecimiento bacteriano intestinal en pacientes con pancreatitis crónica
publisher	Sociedad Médica de Santiago
publishDate	2008
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008000800003
work_keys_str_mv	AT mancillaacarla sobrecrecimientobacterianointestinalenpacientesconpancreatitiscronica AT madridsanamaria sobrecrecimientobacterianointestinalenpacientesconpancreatitiscronica AT hurtadohcarmen sobrecrecimientobacterianointestinalenpacientesconpancreatitiscronica AT orellanabcarolina sobrecrecimientobacterianointestinalenpacientesconpancreatitiscronica AT penazmargarita sobrecrecimientobacterianointestinalenpacientesconpancreatitiscronica AT tobaraeduardo sobrecrecimientobacterianointestinalenpacientesconpancreatitiscronica AT bergerfzoltan sobrecrecimientobacterianointestinalenpacientesconpancreatitiscronica
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Sobrecrecimiento bacteriano intestinal en pacientes con pancreatitis crónica

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