Positive Glucose Breath Tests in Patients with Hysterectomy, Gastrectomy, and Cholecystectomy.
- Author:
Dae Bum KIM
1
;
Chang Nyol PAIK
;
Yeon Ji KIM
;
Ji Min LEE
;
Kyong Hwa JUN
;
Woo Chul CHUNG
;
Kang Moon LEE
;
Jin Mo YANG
;
Myung Gyu CHOI
Author Information
- Publication Type:Original Article
- Keywords: Glucose breath test; Cholecystectomy; Gastrectomy; Hysterectomy
- MeSH: Breath Tests*; Cholecystectomy*; Gastrectomy*; Gastrointestinal Diseases; Glucose*; Humans; Hydrogen; Hysterectomy*; Prevalence
- From:Gut and Liver 2017;11(2):237-242
- CountryRepublic of Korea
- Language:English
- Abstract: BACKGROUND/AIMS: This study aimed to investigate the prevalence and characteristics of small intestinal bacterial overgrowth (SIBO) in patients undergoing abdominal surgeries, such as gastrectomy, cholecystectomy, and hysterectomy. METHODS: One hundred seventy-one patients with surgery (50 hysterectomy, 14 gastrectomy, and 107 cholecystectomy), 665 patients with functional gastrointestinal disease (FGID) and 30 healthy controls undergoing a hydrogen (H₂)-methane (CH₄) glucose breath test (GBT) were reviewed. RESULTS: GBT positivity (+) was significantly different among the surgical patients (43.9%), FGID patients (31.9%), and controls (13.3%) (p<0.01). With respect to the patients, 65 (38.0%), four (2.3%), and six (3.5%) surgical patients and 150 (22.6%), 30 (4.5%), and 32 (4.8%) FGID patients were in the GBT (H₂)+, (CH₄)+ and (mixed)+ groups, respectively (p<0.01). The gastrectomy group had a significantly increased preference in GBT+ (71.4% vs 42.0% or 41.1%, respectively) and GBT (H₂)+ (64.3% vs 32.0% or 37.4%, respectively) compared with the hysterectomy or cholecystectomy groups (p<0.01). During GBT, the total H₂ was significantly increased in the gastrectomy group compared with the other groups. CONCLUSIONS: SIBO producing H2 is common in abdominal surgical patients. Different features for GBT+ may be a result of the types of abdominal surgery.
