Article
Multidisciplinary Sciences
Estibaliz Alegre, Amaia Sandua, Sofia Calleja, Sara Deza, Alvaro Gonzalez
Summary: Breath tests for evaluating carbohydrate malabsorption require low baseline H-2 and CH4 levels. Light walking can reduce these levels and improve test accuracy.
SCIENTIFIC REPORTS
(2022)
Article
Food Science & Technology
Zhitong Deng, Zhuotao Fu, Wen Yan, Kechao Nie, Lingli Ding, Duanhua Ma, Haodong Huang, Tao Li, Jianxing Xie, Linchun Fu
Summary: Slow transit constipation (STC) is a prevalent medical issue, with lactulose and Chinese Herb Solid Drink (CHSD) both showing potential in relieving constipation by impacting the gut microbiota through different mechanisms. While lactulose acts as a bulking laxative and microbioecologic, CHSD contains medicine food homologous materials which enhance the relative abundance of specific gut microbiota. Both CHSD and lactulose elevate short-chain fatty acids and neurotransmitters, promoting intestinal peristalsis, although they have distinct effects on certain gut neuroendocrine factors like gastrin expression.
FOOD RESEARCH INTERNATIONAL
(2021)
Article
Gastroenterology & Hepatology
Anisa Shaker, Billy Peng, Edy Soffer
Summary: This retrospective study on lactulose breath tests found that baseline methane levels are sufficient to identify methane-positive individuals, with most reaching levels above 10 ppm within 90 minutes. Approximately 25% of methane-positive studies were not identified by fasting methane levels.
Article
Gastroenterology & Hepatology
Yongxiang Jiang, Hao Kong, Tingmin Chang, Tao Bai, Xuelian Xiang, Xiaohao Zhang, Xiaoping Xie, Lili Zhang, Chaoxian Zhang, Xiaohua Hou, Rong Lin
Summary: The traditional radiopaque markers protocol for colonic transit time is not suitable for Chinese patients due to their rapid colonic motility. This study found that a modified protocol tailored for Chinese individuals with rapid colon movement showed high diagnostic accuracy and sensitivity in diagnosing constipation.
JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY
(2021)
Article
Nutrition & Dietetics
Charlotte De Geyter, Kris Van de Maele, Bruno Hauser, Yvan Vandenplas
Summary: The study found that measuring CH4 may contribute to the diagnosis of lactose intolerance, with a portion of patients being negative for H-2 but positive for CH4 and experiencing symptoms.
Article
Urology & Nephrology
Naowanit Nata, Supaporn Suebsiripong, Bancha Satirapoj, Ouppatham Supasyndh, Amnart Chaiprasert
Summary: The study compared the efficacy of lactulose and senna plus ispaghula husk to treat constipation among patients with pre-dialysis CKD and found that both treatments were equally effective in relieving constipation symptoms.
INTERNATIONAL JOURNAL OF NEPHROLOGY AND RENOVASCULAR DISEASE
(2021)
Article
Gastroenterology & Hepatology
Dan Wang, Zhao Zhang, Mingsen Li, Tingting Liu, Chao Chen, Jiying Cong, Chenmeng Jiao, Yuwei Li
Summary: CTT diagnosed FC with an accuracy of 69.6%, while HRCM showed an accuracy of 81.0% with a lower false negative ratio. Some patients showed normal results in CTT but abnormal in HRCM. Overall, HRCM is more suitable for assessing FC compared to CTT, but CTT remains essential for diagnosing FC.
BMC GASTROENTEROLOGY
(2022)
Review
Nutrition & Dietetics
Julia Leszkowicz, Katarzyna Plata-Nazar, Agnieszka Szlagatys-Sidorkiewicz
Summary: Lactose intolerance and constipation are common in children and can have a significant impact on their everyday life. While constipation is not typically associated with lactose intolerance, it can be a symptom in around 30% of cases.
Article
Biology
Yi-Hsun Chen, Sharon Chia-Ju Chen, Jiunn-Wei Wang, Chiang-Shin Liu, Jeng-Yih Wu, Deng-Chyang Wu, Yu-Chung Su
Summary: This study examines the association between the status of gastroduodenal disease and the lactulose hydrogen breath test (LHBT) results. The findings suggest that aDU patients with a positive Hp infection have less severe gastric mucosa damage compared to iDU patients and tend to have a higher level of exhaled hydrogen after LHBT.
Article
Gastroenterology & Hepatology
Hani Essa, Shaheen Hamdy, Darren Green, Simon Lal, John McLaughlin, Sandra Hoffmann, Eugena Leitao, Peter Paine
Summary: This study found that patients diagnosed with irritable bowel syndrome (IBS) are statistically less likely to have a positive breath test result, indicating limited utility in this group. Post-surgical patients are more likely to have a positive result, possibly due to faster gut transit rather than bacterial overgrowth, as evidenced by a significant negative association with motility-suppressing drugs in this subgroup.
NEUROGASTROENTEROLOGY AND MOTILITY
(2021)
Article
Gastroenterology & Hepatology
Piero Vernia, Monica Cesarini, Aurora de Carolis, Filippo Vernia
Summary: This study aimed to investigate the prevalence of early hydrogen peaks during lactose breath tests and the proportion of patients affected by SIBO. The results showed that early hydrogen peaks are rarely associated with SIBO, and the finding does not help identifying high-risk patients for this condition.
DIGESTIVE AND LIVER DISEASE
(2021)
Review
Gastroenterology & Hepatology
Irina Efremova, Roman Maslennikov, Elena Poluektova, Ekaterina Vasilieva, Yury Zharikov, Andrey Suslov, Yana Letyagina, Evgenii Kozlov, Anna Levshina, Vladimir Ivashkin
Summary: Small intestinal bacterial overgrowth (SIBO) refers to an increase in bacteria in the small intestine beyond normal levels. SIBO is detected in 33.8% of patients with gastroenterological complaints who underwent a breath test, and is significantly associated with smoking, bloating, abdominal pain, and anemia. Proton pump inhibitor therapy is a significant risk factor for SIBO. The risk of SIBO increases with age and is not dependent on gender or race. SIBO is associated with various diseases and may play a role in their symptom development.
WORLD JOURNAL OF GASTROENTEROLOGY
(2023)
Article
Gastroenterology & Hepatology
Chen Xu, Jiying Cong, Tingting Liu, Chenmeng Jiao, Mingsen Li, Yongjun Yu, Zhao Zhang, Shiwu Zhang, Yuwei Li
Summary: This study utilized high-resolution colonic manometry to evaluate the colonic motility in patients with slow transit constipation (STC). The study found that STC patients had lower occurrence rate and times of high amplitude propagated contraction (HAPC) compared to healthy controls (HCs). The characteristics of HAPC contraction, including length, amplitude, area under the curve (AUC) of pressure wave, and duration, were reduced in STC patients. The study also classified STC patients into four types based on HRCM characteristics and provided treatment recommendations.
CLINICS AND RESEARCH IN HEPATOLOGY AND GASTROENTEROLOGY
(2022)
Article
Gastroenterology & Hepatology
David J. Cangemi, Brian E. Lacy, Journey Wise
Summary: This study found poor agreement between lactulose breath test (LBT) and duodenal aspiration (DA) in the evaluation of small intestinal bacterial overgrowth (SIBO). LBT may be more favorable than DA due to being safer, cheaper, and less likely to yield a contaminated result. Patients with diabetes mellitus or proton pump inhibitor (PPI) use were more likely to have a positive result in DA, while those with a history of small bowel resection were more likely to have a positive result in LBT.
DIGESTIVE DISEASES AND SCIENCES
(2021)
Article
Endocrinology & Metabolism
Miao Zhang, Yajuan Xu, Jingzhe Zhang, Zongzong Sun, Yanjie Ban, Biao Wang, Xiaofeng Hou, Yanjun Cai, Jingjing Li, Mengqi Wang, Wentao Wang
Summary: The study compared the incidence of SIBO in GDM patients and control groups, finding a higher proportion of abdominal distension and SIBO positivity in the GDM group. Additionally, the GDM group showed significantly higher levels of hydrogen and methane abundance, and SIBO+ subjects had higher levels of blood glucose and inflammatory markers.
DIABETES RESEARCH AND CLINICAL PRACTICE
(2021)