Gastroesophageal Reflux, Heartburn, Regurgitation
Conditions
Keywords
Proton pump inhibitor
Brief summary
Researchers hope to determine how often small intestinal bacterial overgrowth occurs after taking proton pump inhibitors.
Interventions
Subjects drink a small carbohydrate solution, and then provide a breath sample every 15 minutes for one hour, and then every 30 minutes for the next two hours
Sponsors
Study design
Eligibility
Inclusion criteria
* Predominant symptoms of gastroesophageal reflux disease including heartburn, regurgitation * Subjects must be able to give appropriate informed consent
Exclusion criteria
* Prior diagnosis of SIBO * Use of PPIs or H2R-anatagonstists in the prior 3 months * Major concomitant illness (renal, hepatic, rheumatologic or cardiovascular disease, or malignancy) * Antibiotic therapy within one month * Prior gastrointestinal surgery including esophageal, gastric, and small or large bowel surgery * Previously diagnosed irritable bowel syndrome or inflammatory bowel disease * Individuals who are pregnant or breast feeding * Patients with plans to become pregnant * Inability to take PPIs, including allergy/sensitivity
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of SIBO after treatment with PPI | After PPI therapy, approximately 8 weeks | Number of subjects to have a positive breath testing for small intestinal bacterial overgrowth (SIBO) after clinical treatment of proton pump inhibitors (PPI ). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Symptoms of SIBO after treatment with PPI | After PPI therapy, approximately 8 weeks | Measured using the self-reported Mayo Bloating Questionnaire to assess symptoms of bloating and abdominal distension. Comprised of 45 questions addressing symptoms of bloating/distention. Other questionnaires include a diarrhea survey and the GERDQ. |
| Incidence of SIBO before treatment with a PPI | Baseline | Number of subjects to have a positive breath testing for small intestinal bacterial overgrowth (SIBO) before clinical treatment of proton pump inhibitors (PPI ). |
| Symptoms of SIBO before treatment with a PPI | Baseline | Measured using the self-reported Mayo Bloating Questionnaire to assess symptoms of bloating and abdominal distension. Comprised of 45 questions addressing symptoms of bloating/distention. Other questionnaires include a diarrhea survey and the GERDQ. |
Countries
United States
Contacts
Mayo Clinic