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诊断方法■小肠细菌过度增长是什么，如何与它和谐共生？( 二 )


低聚糖: 小麦、豆类、洋葱、芦笋；
双糖: 牛奶、酸奶、黄油、软奶酪；
单糖：水果、蜂蜜、含糖食品；
多元醇：含有果核的水果、苹果、蘑菇、绿豆。
下图提供了详细的SIBO膳食指导：
诊断方法■小肠细菌过度增长是什么，如何与它和谐共生？
文章图片
图6 可放心吃的食物
诊断方法■小肠细菌过度增长是什么，如何与它和谐共生？
文章图片
图7 应避免的食物
写在最后
小肠细菌过度增长是一种良性疾病，在一些人群中可能无症状，但患者若合并功能性肠病，可有持续腹痛、排便形态改变等表现。
SIBO的治疗过程漫长，治疗过程中还可能发生药物不良反应，患者饮食上又有诸多限制，不能吃喜爱的食物，这些因素都会带来身心负担。
患者在寻求治疗的同时要保持放松的心态，适当改变生活方式，不为疾病主宰，而与疾病共生。
参考资料：
1.Saad RJ, Chey WD: Breath testing for small intestinal bacterial overgrowth: maximizing test
accuracy. Clin Gastroenterol Hepatol 2014, 12:1964-1972; quiz e1119-1920.
2.Rezaie A, Buresi M, Lembo A, Lin H, McCallum R, Rao S, Schmulson M, Valdovinos M,
Zakko S, Pimentel M: Hydrogen and Methane-Based Breath Testing in Gastrointestinal Disorders:
The North American Consensus. Am J Gastroenterol 2017, 112:775-784.
3.Rao SSC, Bhagatwala J: Small Intestinal Bacterial Overgrowth: Clinical Features and
Therapeutic Management. Clin Transl Gastroenterol 2019, 10:e00078.
4.Rana SV, Sharma S, Kaur J, Sinha SK, Singh K: Comparison of lactulose and glucose breath test
for diagnosis of small intestinal bacterial overgrowth in patients with irritable bowel syndrome.
Digestion 2012, 85:243-247.
5.Quigley EM: Small intestinal bacterial overgrowth: what it is and what it is not. Curr Opin
Gastroenterol 2014, 30:141-146.
6.Leventogiannis K, Gkolfakis P, Spithakis G, Tsatali A, Pistiki A, Sioulas A, Giamarellos-
Bourboulis EJ, Triantafyllou K: Effect of a Preparation of Four Probiotics on Symptoms of
Patients with Irritable Bowel Syndrome: Association with Intestinal Bacterial Overgrowth.
Probiotics Antimicrob Proteins 2019, 11:627-634.
7.Gasbarrini A, Lauritano EC, Gabrielli M, Scarpellini E, Lupascu A, Ojetti V, Gasbarrini G:
Small intestinal bacterial overgrowth: diagnosis and treatment. Dig Dis 2007, 25:237-240.
8.Gabrielli M1, D'Angelo G, Di Rienzo T, Scarpellini E, Ojetti V. Diagnosis of small intestinal
bacterial overgrowth in the clinical practice. Eur Rev Med Pharmacol Sci 2013;17 Suppl 2:30-5.
9. Pyleris E, Giamarellos-Bourboulis E J, Tzivras D et al. The Prevalence of Overgrowth by Aerobic Bacteria in the Small Intestine by Small Bowel Culture: Relationship with Irritable Bowel Syndrome. Digestive Diseases and Sciences, 2012, 57:1321-1329.
10. Grace E, Shaw C, Whelan K, et al. Review article: small intestinal bacterial overgrowth - prevalence, clinical features, current and developing diagnostic tests, and treatment. Alimentary Pharmacology & Therapeutics, 2013, 38:674-688.
11.Choung R S, Ruff K C, Malhotra A, et al. Clinical predictors of small intestinal bacterial overgrowth by duodenal aspirate culture. Aliment Pharmacol Ther. 2011;33:1059-67.


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