Small Intestinal Bacterial Overgrowth in Various Specialties of Medical Practice (Literature Review and Expert Council Resolution)

Aim: to discuss current views on the clinical significance, diagnostic opportunities, and therapeutic approaches in the treatment of small intestinal bacterial overgrowth (SIBO) as an important component in the gut microbiota function assessment, to assess the awareness of physicians and the opportu...

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Main Authors: V. T. Ivashkin, V. V. Fomin, O. N. Tkacheva, O. S. Medvedev, E. A. Poluektova, D. I. Abdulganieva, S. R. Abdulkhakov, O. P. Alexeeva, S. A. Alekseenko, D. N. Andreev, A. Yu. Baranovsky, M. S. Zharkova, O. Yu. Zolnikova, K. V. Ivashkin, I. L. Kliaritskaia, N. V. Korochanskaya, S. N. Mammaev, R. V. Maslennikov, R. G. Myazin, M. V. Perekalina, A. V. Povtoreyko, A. I. Ulyanin, M. V. Fadeeva, I. B. Khlynov, V. V. Tsukanov, O. S. Shifrin
Format: Article
Language:Russian
Published: Gastro LLC 2024-05-01
Series:Российский журнал гастроэнтерологии, гепатологии, колопроктологии
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Online Access:https://www.gastro-j.ru/jour/article/view/954
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author V. T. Ivashkin
V. V. Fomin
O. N. Tkacheva
O. S. Medvedev
E. A. Poluektova
D. I. Abdulganieva
S. R. Abdulkhakov
O. P. Alexeeva
S. A. Alekseenko
D. N. Andreev
A. Yu. Baranovsky
M. S. Zharkova
O. Yu. Zolnikova
K. V. Ivashkin
I. L. Kliaritskaia
N. V. Korochanskaya
S. N. Mammaev
R. V. Maslennikov
R. G. Myazin
M. V. Perekalina
A. V. Povtoreyko
A. I. Ulyanin
M. V. Fadeeva
I. B. Khlynov
V. V. Tsukanov
O. S. Shifrin
author_facet V. T. Ivashkin
V. V. Fomin
O. N. Tkacheva
O. S. Medvedev
E. A. Poluektova
D. I. Abdulganieva
S. R. Abdulkhakov
O. P. Alexeeva
S. A. Alekseenko
D. N. Andreev
A. Yu. Baranovsky
M. S. Zharkova
O. Yu. Zolnikova
K. V. Ivashkin
I. L. Kliaritskaia
N. V. Korochanskaya
S. N. Mammaev
R. V. Maslennikov
R. G. Myazin
M. V. Perekalina
A. V. Povtoreyko
A. I. Ulyanin
M. V. Fadeeva
I. B. Khlynov
V. V. Tsukanov
O. S. Shifrin
author_sort V. T. Ivashkin
collection DOAJ
description Aim: to discuss current views on the clinical significance, diagnostic opportunities, and therapeutic approaches in the treatment of small intestinal bacterial overgrowth (SIBO) as an important component in the gut microbiota function assessment, to assess the awareness of physicians and the opportunities in the diagnosis and treatment of this disease in patients in the Federal districts of the Russian Federation, as well as to present the proceedings of the Expert Council held on December 16, 2023 in Moscow.Key points. SIBO is a common syndrome often associated with irritable bowel syndrome, liver cirrhosis, asthma, and congestive heart failure, being also a predictor of early death in the elderly. Today, in many regions of the Russian Federation, there are limitations for instrumental diagnosis of this disease — lack of awareness among doctors, unavailability of gas analyzers for diagnosing SIBO, lack of information about the need to diagnose SIBO in the standards of compulsory health insurance. Rifaximin is the first-line treatment due to the highest therapeutic efficacy. One of the ways to increase the efficacy of SIBO treatment is to include strain-specific probiotics in the treatment regimen. Saccharomyces boulardii CNCM I-745 is thought to be the most studied, promising probiotic. The review also presents statistical data on the issues in the diagnosis and treatment of SIBO in the regions of the Russian Federation.Conclusion. Optimization of approaches to the diagnosis and treatment of SIBO, the development of domestic gas analyzers, increasing the awareness of physicians in all regions of the Russian Federation, as well as the development and optimization of clinical recommendations appear to be necessary measures to increase the effectiveness of medical care, the duration and quality of life of the Russian population. These goals can be achieved within the framework of Federal programs under the supervision of specialized reference centers of the Ministry of Health of the Russian Federation.
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spelling doaj-art-db2150c2ab74402ca5b5405713103c662025-02-10T16:14:38ZrusGastro LLCРоссийский журнал гастроэнтерологии, гепатологии, колопроктологии1382-43762658-66732024-05-01342143410.22416/1382-4376-2024-954589Small Intestinal Bacterial Overgrowth in Various Specialties of Medical Practice (Literature Review and Expert Council Resolution)V. T. Ivashkin0V. V. Fomin1O. N. Tkacheva2O. S. Medvedev3E. A. Poluektova4D. I. Abdulganieva5S. R. Abdulkhakov6O. P. Alexeeva7S. A. Alekseenko8D. N. Andreev9A. Yu. Baranovsky10M. S. Zharkova11O. Yu. Zolnikova12K. V. Ivashkin13I. L. Kliaritskaia14N. V. Korochanskaya15S. N. Mammaev16R. V. Maslennikov17R. G. Myazin18M. V. Perekalina19A. V. Povtoreyko20A. I. Ulyanin21M. V. Fadeeva22I. B. Khlynov23V. V. Tsukanov24O. S. Shifrin25I.M. Sechenov First Moscow State Medical University (Sechenov University)I.M. Sechenov First Moscow State Medical University (Sechenov University)N.I. Pirogov Russian National Research Medical UniversityM.V. Lomonosov Moscow State University; National Medical Research Center of Cardiology names after Academician E.I. ChazovI.M. Sechenov First Moscow State Medical University (Sechenov University)Kazan State Medical UniversityKazan State Medical University; Kazan (Volga Region) Federal UniversityPrivolzhsky Research Medical UniversityFar-Eastern State Medical UniversityRussian University of MedicineSaint Petersburg State UniversityI.M. Sechenov First Moscow State Medical University (Sechenov University)I.M. Sechenov First Moscow State Medical University (Sechenov University)I.M. Sechenov First Moscow State Medical University (Sechenov University)V.I. Vernadsky Crimea Federal UniversityKuban State Medical UniversityDagestan State Medical UniversityI.M. Sechenov First Moscow State Medical University (Sechenov University)Volgograd State Medical UniversityStavropol Territorial Clinical HospitalPskov Regional Infectious Disease HospitalI.M. Sechenov First Moscow State Medical University (Sechenov University)I.M. Sechenov First Moscow State Medical University (Sechenov University)Ural State Medical UniversityScientific Research Institute of Medical Problems of the North, Federal Research Center “Krasnoyarsk Science Center of the Siberian Branch of the Russian Academy of Sciences”I.M. Sechenov First Moscow State Medical University (Sechenov University)Aim: to discuss current views on the clinical significance, diagnostic opportunities, and therapeutic approaches in the treatment of small intestinal bacterial overgrowth (SIBO) as an important component in the gut microbiota function assessment, to assess the awareness of physicians and the opportunities in the diagnosis and treatment of this disease in patients in the Federal districts of the Russian Federation, as well as to present the proceedings of the Expert Council held on December 16, 2023 in Moscow.Key points. SIBO is a common syndrome often associated with irritable bowel syndrome, liver cirrhosis, asthma, and congestive heart failure, being also a predictor of early death in the elderly. Today, in many regions of the Russian Federation, there are limitations for instrumental diagnosis of this disease — lack of awareness among doctors, unavailability of gas analyzers for diagnosing SIBO, lack of information about the need to diagnose SIBO in the standards of compulsory health insurance. Rifaximin is the first-line treatment due to the highest therapeutic efficacy. One of the ways to increase the efficacy of SIBO treatment is to include strain-specific probiotics in the treatment regimen. Saccharomyces boulardii CNCM I-745 is thought to be the most studied, promising probiotic. The review also presents statistical data on the issues in the diagnosis and treatment of SIBO in the regions of the Russian Federation.Conclusion. Optimization of approaches to the diagnosis and treatment of SIBO, the development of domestic gas analyzers, increasing the awareness of physicians in all regions of the Russian Federation, as well as the development and optimization of clinical recommendations appear to be necessary measures to increase the effectiveness of medical care, the duration and quality of life of the Russian population. These goals can be achieved within the framework of Federal programs under the supervision of specialized reference centers of the Ministry of Health of the Russian Federation.https://www.gastro-j.ru/jour/article/view/954small intestinal bacterial overgrowthgut microbiotairritable bowel syndromeliver cirrhosischronic heart failureasthmaagingmalnutritionprobiotics<i>saccharomyces boulardii</i> cncm i-745
spellingShingle V. T. Ivashkin
V. V. Fomin
O. N. Tkacheva
O. S. Medvedev
E. A. Poluektova
D. I. Abdulganieva
S. R. Abdulkhakov
O. P. Alexeeva
S. A. Alekseenko
D. N. Andreev
A. Yu. Baranovsky
M. S. Zharkova
O. Yu. Zolnikova
K. V. Ivashkin
I. L. Kliaritskaia
N. V. Korochanskaya
S. N. Mammaev
R. V. Maslennikov
R. G. Myazin
M. V. Perekalina
A. V. Povtoreyko
A. I. Ulyanin
M. V. Fadeeva
I. B. Khlynov
V. V. Tsukanov
O. S. Shifrin
Small Intestinal Bacterial Overgrowth in Various Specialties of Medical Practice (Literature Review and Expert Council Resolution)
Российский журнал гастроэнтерологии, гепатологии, колопроктологии
small intestinal bacterial overgrowth
gut microbiota
irritable bowel syndrome
liver cirrhosis
chronic heart failure
asthma
aging
malnutrition
probiotics
<i>saccharomyces boulardii</i> cncm i-745
title Small Intestinal Bacterial Overgrowth in Various Specialties of Medical Practice (Literature Review and Expert Council Resolution)
title_full Small Intestinal Bacterial Overgrowth in Various Specialties of Medical Practice (Literature Review and Expert Council Resolution)
title_fullStr Small Intestinal Bacterial Overgrowth in Various Specialties of Medical Practice (Literature Review and Expert Council Resolution)
title_full_unstemmed Small Intestinal Bacterial Overgrowth in Various Specialties of Medical Practice (Literature Review and Expert Council Resolution)
title_short Small Intestinal Bacterial Overgrowth in Various Specialties of Medical Practice (Literature Review and Expert Council Resolution)
title_sort small intestinal bacterial overgrowth in various specialties of medical practice literature review and expert council resolution
topic small intestinal bacterial overgrowth
gut microbiota
irritable bowel syndrome
liver cirrhosis
chronic heart failure
asthma
aging
malnutrition
probiotics
<i>saccharomyces boulardii</i> cncm i-745
url https://www.gastro-j.ru/jour/article/view/954
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