JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES) ›› 2016, Vol. 54 ›› Issue (1): 45-47.doi: 10.6040/j.issn.1671-7554.0.2015.343

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Relationship between abdominal distension and small intestine bacterial overgrowth in type 2 diabetic patients

ZHANG Li1, ZHU Huiming1, WANG Yanmei2, JIANG Di1, SUN Xianjiu1, LE Youlin2   

  1. 1. Department of Gastroenterology, Donghua Hospital of Dongguan, Dongguan 523000, Guangdong, China;
    2. Nursing College of Henan University, Kaifeng 475000, Henan, China
  • Received:2015-04-01 Online:2016-01-11 Published:2016-01-11

Abstract: Objective To explore the relationship between abdominal distension and small intestine bacterial overgrowth(SIBO)in type 2 diabetic patients. Methods A total of 96 type 2 diabetic patients were divided into 4 groups: normal blood glucose and no abdominal distention group(control group), normal blood glucose and abdominal distension group(abdominal distension group), hyperglycemia without abdominal distension group, and hyperglycemia and abdominal distention group. SIBO and the mouth-intestine transit time were detected with lactulose hydrogen breath test, and the results of the control group were compared with those of the other groups. Results The positive rate of SIBO in the hyperglycemia and abdominal distention group was higher than in the other groups, and the difference was significant. There was difference in the positive rate of SIBO between the control group and abdominal distension group(P<0.05). There were significant differences in the mouth-intestine transit time between the control group and the other 3 groups(P<0.01). Conclusion Type 2 diabetic patients with abdominal distention are more liable to have SIBO. The long mouth-intestine transit time may be related to abdominal distension.

Key words: Type 2 diabetes, Small intestinal bacterial overgrowth, Hydrogen breath test

CLC Number: 

  • R575
[1] 张波, 杨文英. 糖尿病防治在中国[J]. 中华糖尿病杂志, 2015, 7(1):3-5.
[2] Gabrielli M, D'Angelo G, Di Rienzo T, et al. Diagnosis of small intestinal bacterial overgrowth in the clinical practice[J]. Eur Rev Med Pharmacol Sci, 2013, 17(2):30-35.
[3] Jan Bures, Jiri Cyrany, Darina Kohoutova, et al. Small intestinal bacterial overgrowth syndrome[J]. World J Gastroenterol, 2010, 16(24):2978-2990.
[4] 王倩,张莹,侯为开,等.2型糖尿病性腹泻与肠神经系统病变关系的探讨[J].山东大学学报(医学版),2011, 49(8):13-20. WANG Qian, ZHANG Ying, HOU Weikai, et al. Correlation between type 2 diabetes associated diarrhea and changes of enteric nervous system[J]. Journal of Shandong University(Health Sciences), 2011, 49(8):13-20.
[5] Rana SV, Malik A. Hydrogen breath tests in gastrointestinal diseases[J]. Indian J Clin Biochem, 2014, 29(4):398-405.
[6] Di Stefano M, Mengoli C, Bergonzi M, et al. Hydrogen breath test and intestinal gas production[J]. Eur Rev Med Pharmacol Sci, 2013, 17(2):36-38.
[7] Rana SV, Sharma S, Kaur J, et al. Comparison of lactulose and glucose breath test for diagnosis of small intestinal bacterial overgrowth in patients with irritable bowel syndrome[J]. Digestion, 2012, 85(3):243-247.
[8] Kwak DS, Jun DW, Seo JG, et al. Short-term probiotic therapy alleviates small intestinal bacterial overgrowth, but does not improve intestinal permeability in chronic liver disease[J]. Eur J Gastroenterol Hepatol, 2014, 26(12):1353-1359.
[9] Drossman DA. Treatment for bacterial overgrowth in the irritable bowel syndrome [J]. Ann Intern Med, 2006, 145(8):626-628.
[10] Hulston CJ, Churnside AA, Venables MC. Probiotic supplementation prevents high-fat, overfeeding-induced insulin resistance in human subjects[J]. Br J Nutr, 2015, 113(4):596-602.
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