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SMALL INTESTINE BACTERIAL OVERGROWTH IN PATIENTS WITH FAILURE OF THE VALVE BAUHINIAS AND AFTER ITS SURGICAL TREATMENTS (THE FIRST RESULTS)

https://doi.org/10.20538/1682-0363-2015-2-12-19

Abstract

Оbjective: diagnosis of the a small intestine of bacterial overgrowth syndrome (SIBO) in patients with the failure of the bauginias valve (FBV) and after its surgical correction.
Material and methods. Patients of the studied groups were examined by means of direct and indirect methods of diagnostics of SIBO. Bacteriological research of an aspirate of aillium gut and other operational material was conducted. To all patients the hydrogen respiratory test was carried out and highquality reaction of urine to an indican was carried out. 50 patients are examined, from them 30 are inclu ded in the main group by which surgical correction of FBV – a bauginoplastik is made; 20 patients are included in group of control at which the illeocecal valve is well-founded. Patients of the main group were examined before operation and for the 7th and 45th days after a bauginoplastik.
Results. At all patients of the main group SIBO of varying severity is defined, at 80% of patients of SIBO was localized in distal part of the small intestine. Patients with normal function of the ileocecal valve a SIBO did not suffer. At 76% of patients revealed signs of a mezadenitisof a small intestine, the fact of a bacterial translocation at SIBO is confirmed. In 7 days after surgical correction of the bauginiasvalve normalization of a peak and background excretion of hydrogen was noted at 37% of patients. For the 45th days at all patients the hydrogen digram met standard.
Conclusions. The failure of the bauginiasvalveis obligatory followed by a small intestine of bacterial overgrowth syndrome, surgical correction is an effective method of correction of a SIBO at patients with FBV.

About the Authors

V. L. Martvnov
Nizhny Novgorod City Hospital no. 12, Nizhny Novgorod
Russian Federation
Martvnov Vladimir L.


A. K. Khairdinov
Nizhny Novgorod City Hospital no. 12, Nizhny Novgorod
Russian Federation
Khairdinov Artur K.


References

1. Martynov V.L. Reflyuksy pishchevaritel'nogo trakta i ikh khirurgicheskaya korrektsiya [Refluxes of a digestive tract and their surgical correction]. Dis. Dr. med. sci. Saransk, 2006. 261 p.

2. Martynov V.L. Rabochie gipotezy o vozmozhnostyah klapannoy gastroenterologii [Working hypotheses of opportunities of valvate gastroenterology]. Nizhegorodskiy Meditsinskiy Zhurnal – Nizhny Novgorod Medical Journal, 2002, no. 1, pp. 114–124.

3. Filippova T.V. Znachenie mediko-geneticheskogo konsul'tirovaniya pri zabolevaniyah organov pishchevareniya [Value of medico-genetic consultation at diseases of the digestive system]. Rossijskiy Zhurnal Gastrojenterologii, Gepatologii, Koloproktologii – Russian Journal of Gastroenterology, Hepatology, Coloproctology, 2014, no. 1, pp. 56–61.

4. Sperber A.D., Drossman D.A., Quigley E.M. The global perspective on irritable bowel syndrome: a Rome FoundationWorld Gastroenterology Organisation symposium. Am. J. Gastroenterol., 2012, vol. 107 (11), pp. 1602–1609.

5. Zaidel O., Lin H.C. Uninvited Guests: The Impact of Small Intestinal Bacterial Overgrowth on Nutritional Status. Practical Gastroenterology, 2003, ol. XXVII (7), pp. 24–37.

6. Miller L.S., Vegesna A.K., Sampath A.M., Prabhu S., Kotapati S.K., Makipour K. Ileocecal valve dysfunction in small intestinal bacterial overgrowth: A pilot study. WGJ, 2012, vol. 18, pp. 6801–6808.

7. Bures J. Cyrany J., Kohoutova D., Forst L.M., Rejchr T.S., Kventin A.J., Vorisek V., Kopasova M. Small intestinal bacterial overgrowth syndrome. World J. Gastroenterol., 2010, vol. 28, pp. 2978–2990.

8. Ardatskaya M.D. Sindrom izbytochnogo bakterial'nogo rosta [Small intestine bacterial overgrowth syndrome]. Moscow, Forte print Publ., 2011. 56 p.

9. Ford A.C., Spiegel B.M., Talley N.J., Moayyedi P. Small intestinal bacterial overgrowth in irritable bowel syndrome: systematic review and meta-analysis. Clin. Gastroenterol. Hepatol., 2009, vol. 7, pp. 1279–1286.

10. Kucheryavyi Yu.A., Cheremushkin S.V., Mayevskaya Ye.A., Sutugina Ye.A. Vzaimosvyaz' sindromov razdrazhennogo kishechnika i izbytochnogo bakterial'nogo rosta: est' li ona? [Interrelation of syndromes of the angry intestines and excess bacterial growth: whether there is it?]. Rossijskiy zhurnal gastrojenterologii, gepatologii, koloproktologii – Russian Journal of Gastroenterology, Hepatology, Coloproctology, 2014, no. 2, pp. 5–14.

11. Plotnikova Ye.Yu., Borshch M.V., Krasnova M.V., Baranova Ye.N. Nekotorye aspekty diagnostiki i lecheniya izbytochnoy bakterial'noy kontaminatsii tonkoy kishki v klinicheskoy praktike [elektronnyi resurs]. [Some aspects of diagnostics and treatment of an excess bacterial kontamination of a small intestine in clinical practice]. Lechashchiy vrach – Physician, 2013, no. 4. URL: http://www.lvrach.ru/2013/02/15435625.

12. Poluektova Ye.A., Kuchumova S.Yu., Sheptulin A.A., Ivashkin V.T. Lechenie sindroma razdrazhennogo kishechnika s pozitsiys ovremennyh predstavleniy o patogeneze zabolevaniya [Treatment of a syndrome of the angry intestines from positions of modern ideas of pathogenesis of a disease]. Rossijskiy Zhurnal Gastrojenterologii, Gepatologii, Koloproktologii – Russian Journal of Gastroenterology, Hepatology, Coloproctology, 2013, vol. 23, no. 1, pp. 57–65.

13. Gabrielli M., Bonazzi P., Scarpellini E., Bendi A.E., Lauritano E.C., Fasano A., Ceravolo M.G., Capecci M., Rita Bentivoglio A., Provinciali L., Tonali P.A., Gasbarrini A. Prevalence of small intestinal bacterial overgrowth in Parkinson’s disease. Mov. Disord., 2011, vol. 26, pp. 889–892.

14. Lauritano E., Gabrielli M., Scarpellini E., Lupascu A., Novi M., Sottilii S., Vital E.G., Cesarino V., Serricchio M., Cammarota G., Gasbarrini G., Gasbarrini A. Small intestinal bacterial over growth recurrence after antibiotic therapy. Am. J. Gastroenterol., 2008, vol. 103, pp. 2031–2035.

15. Gabrielli M., Angelo G.D., Rienzo T.D.I., Scarpellini E., Ojetti V. Diagnosis of small intestinal bacterial оver growth in the clinical practice. European Review for Medical and Pharmacological Sciences, 2013, vol. 17, pp. 30–35.

16. Ledochowski M., Ledochowski E., Eisenmann A. Hydrogen Breath tests. 1st Edition. Innsbruck, Akademie, 2008. 59 р.

17. Wiest R., Garcia-Tsao G. Bacterial translocation in cirrhosis. Hepatology, 2005, vol. 41, pp. 422–433.

18. Zharkova M.S., Mayevskaya M.V., Ivashkin V.T. Vliyanie sindroma izbytochnogo bakterial'nogo rosta i bakterial'noy translokatsii na techenie zabolevaniya u bol'nyh tsirrozom pecheni [Influence of a syndrome of bacterial overgrowth and bacterial translocation on the course of a disease at patients with cirrhosis]. Rossijskiy Zhurnal Gastrojenterologii, Gepatologii, Koloproktologii – Russian Journal of Gastroenterology, Hepatology, Coloproctology, 2012, vol. 22, no. 5, pp. 56–63.

19. Mechetina T.A. Sindrom izbytochnogo bakterial'nogo rosta v tonkoy kishke posle kholetsistektomii [Syndrome of bacterial overgrowth in a small intestine after a holetsistektomiya]. Dis. Dr. med. Sci. Moscow, 2011. 134 p.

20. Mendoza E., Crismatt C., Matos R. Diagnosis of small intestinal bacterial overgrowth in children: the use of lactulose in the breath hydrogentestas screening test. Biomedica, 2007, vol. 27 (3), pp. 325–332.


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For citations:


Martvnov V.L., Khairdinov A.K. SMALL INTESTINE BACTERIAL OVERGROWTH IN PATIENTS WITH FAILURE OF THE VALVE BAUHINIAS AND AFTER ITS SURGICAL TREATMENTS (THE FIRST RESULTS). Bulletin of Siberian Medicine. 2015;14(2):12-19. (In Russ.) https://doi.org/10.20538/1682-0363-2015-2-12-19

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ISSN 1682-0363 (Print)
ISSN 1819-3684 (Online)