小肠细菌在囊性纤维化患者中的过度生长:系统性综述
Maria Lidiane Lavor Landim1, José Dirceu Ribeiro1, Daniela de Souza Paiva Borgli1
1Universidade Estadual de Campinas, Campinas, SP, Brasil.
Arquivos de gastroenterologia
|May 7, 2025
概括
小肠细菌过度生长 (SIBO) 在囊性纤维化患者中很常见. 标准化呼吸试验对于准确诊断和了解SIBO对CF并发症的影响至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 肺部病理学 肺部病理学
- 微生物学 微生物学
背景情况:
- 患有囊性纤维化 (pwCF) 的患者可能会由于酸性抑制,不运动性和术后状态而发展小肠细菌过度生长 (SIBO).
- 即使使用调节器疗法,SIBO也可以在pwCF中持续存在,呼吸测试是关键的诊断工具.
研究的目的:
- 系统地审查 pwCF 中的 SIBO 诊断方法.
- 评估SIBO和CF并发症之间的关系,如肝病,脂肪吸收问题和饮食障碍.
主要方法:
- 使用H2和CH4呼吸测试对儿童和青少年CF中评估SIBO的研究进行系统审查.
- 搜索了多个数据库,直到2024年3月,使用PRISMA指南和QUADAS 2进行质量评估.
主要成果:
- 审查了9项涉及206个pwCF的研究,所有这些都使用H2呼吸测试,一些与CH4.4结合.
- 观察到呼吸测试方案,抗生素停止时间和诊断断断的显著变化.
- 没有发现与肝酶的明显关联,但SIBO可能与脂肪吸收减少和低脂症有关.
结论:
- 数据有限和方法上的不一致性阻碍了pwCF中SIBO的最终结论.
- 迫切需要在pwCF中进行SIBO调查和诊断的标准化协议.
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