Small Bowel Bacterial Overgrowth Syndrome (SBBOS), Small Intestinal Bacterial Overgrowth Syndrome (SIBO)
Conditions
Keywords
Small intestinal bacterial overgrowth syndrome (SIBO), bacterial overgrowth syndrome, Small Bowel Bacterial Overgrowth Syndrome (SBBOS), 14-Co2 D-Xylose Breath Testing, Antibiotics, Prokinteics, Prokinetic Agents
Brief summary
The objective of this study is to compare the efficacy of prokinetics versus antibiotics versus a combination of antibiotics plus prokinetics in the eradication of Small-Intestinal Bacterial Over-Growth Syndrome (SIBO) in those with and without a positive D-xylose Breath Test. Hypothesis: Patients with SIBO treated with a combination of prokinetics and in particular octreotide and antibiotics will have reduced recurrence rates of SIBO than either therapy given alone.
Detailed description
We want to determine whether treatment with prokinetics such as Octreotide, Azithromycin, Erythromycin or Tegaserod alone, versus antibiotics alone, or combination of antibiotics plus prokinetics results in symptomatic improvement in patients with SIBO (defined by a positive D xylose Breath test).
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients who have had 14 C-D-Xylose Breath test performed in GI Motility Laboratory at the University of Florida
Exclusion criteria
* Those who cannot tolerate 14 C-D-Xylose Breath test for any reason
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| clinical response to treatments as measured by changes in patients' GI symptoms, weight and lab data | A retrospective chart review of up to 8 clinical visits between January 2000 and September 2010 will be conducted on all patients who have had a D-Xylose Breath Test at the Shands Motility Laboratory at the University of Florida during this time period | Overall clinical response to each treatment (antibiotic, pro-kinetic, or both) and any symptoms reported in up to 8 separate clinical visits in the follow-up of these patients during the above mentioned time period will be analyzed and reviewed retrospectively using the patients' charts. |
Countries
United States