SIBO & SIFO After Colectomy
SIBO & SIFO After Colectomy
After subtotal colectomy, 40% of patients report abdominal pain, gas and diarrhea, and poor
 quality of life; whose etiology is unknown. The investigators determined whether small
 intestinal bacterial (SIBO or fungal overgrowth SIFO) could cause these sympotoms (> 1 year).
Inclusion Criteria:

 patients who were referred to a specialist motility center over 4 year period with:

 -  Unexplained gastrointestinal symptoms such as gas, bloating, belching, diarrhea, and
 abdominal discomfort

 -  history of colectomy

 -  patients with no history of colectomy

 -  patients included who had normal: upper endoscopy, colonoscopy, computerized abdominal
 tomography scan, and normal hematology, biochemical profiles, tissue transglutaminase
 antibody, thyroid stimulating hormone, and normal right upper quadrant ultrasound
 scan.

 -  patients with glucose breath test and/or duodenal aspirate

 Exclusion Criteria:

 -  patients with upper gut or small bowel surgery

 -  Patients who were hospitalized or with serious cardiac or pulmonary or neurologic
 comorbidities

 -  Patients with intestinal strictures or known intestinal motility disorders such as
 scleroderma or pseudo-obstruction syndrome