Small Intestinal Bacterial Overgrowth Syndrome: New Clinical Insights for Multimorbid and High-Risk Patients

Introduction Small Intestinal Bacterial Overgrowth (SIBO) syndrome has emerged as a significant clinical issue associated with various gastrointestinal and systemic conditions. The syndrome is characterized by an excessive proliferation of bacteria in the small intestine, leading to symptoms such a...

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Main Authors: Krzysztof Nowakowski, Zuzanna Mularczyk, Magdalena Reclik, Piotr Oleksy, Maciej Tenderenda
Format: Article
Language:English
Published: Nicolaus Copernicus University in Toruń 2024-12-01
Series:Quality in Sport
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Online Access:https://apcz.umk.pl/QS/article/view/56729
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author Krzysztof Nowakowski
Zuzanna Mularczyk
Magdalena Reclik
Piotr Oleksy
Maciej Tenderenda
author_facet Krzysztof Nowakowski
Zuzanna Mularczyk
Magdalena Reclik
Piotr Oleksy
Maciej Tenderenda
author_sort Krzysztof Nowakowski
collection DOAJ
description Introduction Small Intestinal Bacterial Overgrowth (SIBO) syndrome has emerged as a significant clinical issue associated with various gastrointestinal and systemic conditions. The syndrome is characterized by an excessive proliferation of bacteria in the small intestine, leading to symptoms such as bloating, diarrhoea, constipation, abdominal pain, and malabsorption. These symptoms contribute to a decline in patients' quality of life, malnutrition, and nutritional deficiencies. Despite its clinical relevance, SIBO remains underdiagnosed in routine practice. Purpose of Research This study aims to review the current understanding of the pathophysiology, clinical presentation, diagnostic approaches, and treatment options for SIBO, with a focus on improving clinical recognition and management. Materials and Methods A comprehensive literature review was conducted, analyzing 31 articles sourced from PubMed, Scopus, Web of Science, and ScienceDirect. The search was based on the keywords: SIBO, small intestinal bacterial overgrowth syndrome, dysbiosis, diagnosis of SIBO, and treatments of SIBO. Articles published between 2011 and 2024 were included, with at least 80% of the sources published after 2015 to ensure up-to-date information. Basic Results SIBO is associated with diverse etiological factors, including gastrointestinal motility disorders, anatomical abnormalities, and immune deficiencies. Diagnosis primarily relies on clinical history and breath tests, though these have limitations in accuracy. Antimicrobial therapy, alongside management of nutritional deficiencies and the underlying condition, are the cornerstone of treatment. Conclusions SIBO presents with nonspecific symptoms commonly seen in clinical practice, especially in elderly and high-risk patients. Early diagnosis and appropriate treatment can significantly improve patients' quality of life.
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spelling doaj-art-4fe4914e2069449fbc230afde3090ef92024-12-25T08:21:55ZengNicolaus Copernicus University in ToruńQuality in Sport2450-31182024-12-013610.12775/QS.2024.36.56729Small Intestinal Bacterial Overgrowth Syndrome: New Clinical Insights for Multimorbid and High-Risk PatientsKrzysztof Nowakowski0https://orcid.org/0009-0006-6136-0730Zuzanna Mularczyk1https://orcid.org/0009-0000-6788-2739Magdalena Reclik2https://orcid.org/0009-0005-5359-2622Piotr Oleksy3https://orcid.org/0009-0008-0567-0317Maciej Tenderenda4https://orcid.org/0009-0007-8342-3998Collegium Medicum of University of Warmia and Mazury in OlsztynMedical University of Silesia in Katowice, Faculty of Medical Sciences in KatowiceMedical University of Silesia in Katowice, Faculty of Medical Sciences in KatowiceMedical University of Silesia in Katowice, Faculty of Medical Sciences in KatowiceMedical University of Silesia in Katowice, Faculty of Medical Sciences in Katowice Introduction Small Intestinal Bacterial Overgrowth (SIBO) syndrome has emerged as a significant clinical issue associated with various gastrointestinal and systemic conditions. The syndrome is characterized by an excessive proliferation of bacteria in the small intestine, leading to symptoms such as bloating, diarrhoea, constipation, abdominal pain, and malabsorption. These symptoms contribute to a decline in patients' quality of life, malnutrition, and nutritional deficiencies. Despite its clinical relevance, SIBO remains underdiagnosed in routine practice. Purpose of Research This study aims to review the current understanding of the pathophysiology, clinical presentation, diagnostic approaches, and treatment options for SIBO, with a focus on improving clinical recognition and management. Materials and Methods A comprehensive literature review was conducted, analyzing 31 articles sourced from PubMed, Scopus, Web of Science, and ScienceDirect. The search was based on the keywords: SIBO, small intestinal bacterial overgrowth syndrome, dysbiosis, diagnosis of SIBO, and treatments of SIBO. Articles published between 2011 and 2024 were included, with at least 80% of the sources published after 2015 to ensure up-to-date information. Basic Results SIBO is associated with diverse etiological factors, including gastrointestinal motility disorders, anatomical abnormalities, and immune deficiencies. Diagnosis primarily relies on clinical history and breath tests, though these have limitations in accuracy. Antimicrobial therapy, alongside management of nutritional deficiencies and the underlying condition, are the cornerstone of treatment. Conclusions SIBO presents with nonspecific symptoms commonly seen in clinical practice, especially in elderly and high-risk patients. Early diagnosis and appropriate treatment can significantly improve patients' quality of life. https://apcz.umk.pl/QS/article/view/56729SIBOdysbiosisDiagnosis of SIBOTreatments of SIBOSmall Intestinal Bacterial Overgrowth syndrome
spellingShingle Krzysztof Nowakowski
Zuzanna Mularczyk
Magdalena Reclik
Piotr Oleksy
Maciej Tenderenda
Small Intestinal Bacterial Overgrowth Syndrome: New Clinical Insights for Multimorbid and High-Risk Patients
Quality in Sport
SIBO
dysbiosis
Diagnosis of SIBO
Treatments of SIBO
Small Intestinal Bacterial Overgrowth syndrome
title Small Intestinal Bacterial Overgrowth Syndrome: New Clinical Insights for Multimorbid and High-Risk Patients
title_full Small Intestinal Bacterial Overgrowth Syndrome: New Clinical Insights for Multimorbid and High-Risk Patients
title_fullStr Small Intestinal Bacterial Overgrowth Syndrome: New Clinical Insights for Multimorbid and High-Risk Patients
title_full_unstemmed Small Intestinal Bacterial Overgrowth Syndrome: New Clinical Insights for Multimorbid and High-Risk Patients
title_short Small Intestinal Bacterial Overgrowth Syndrome: New Clinical Insights for Multimorbid and High-Risk Patients
title_sort small intestinal bacterial overgrowth syndrome new clinical insights for multimorbid and high risk patients
topic SIBO
dysbiosis
Diagnosis of SIBO
Treatments of SIBO
Small Intestinal Bacterial Overgrowth syndrome
url https://apcz.umk.pl/QS/article/view/56729
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