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Small Intestinal Bacterial Overgrowth (SIBO)

Small Intestinal Bacterial Overgrowth (SIBO)
Intestinal Methanogen Overgrowth (IMO)
Diagnostic Testing
Conditions Associated with SIBO
Treatment

By
Bacterial Overgrowth (SIBO ... Bacterial Overgrowth (SIBO ... Associated with SIBO ... EmoryGastroHep #SIBO
Bloating and Belching - Differential Diagnosis Framework and Workup
Phenotypes:
"The gastric bloater" - Gastric outlet obstruction, Gastroparesis,
bloater" - Dietary, SIBO ... Celiac disease, SBO
Causes of Vitamin B12 Deficiency - Cobalamin
Decreased Intake
Pancreas: Insufficiency
Intestine: SIBO, Celiac disease, IBD, Lymphoma, Amyloidosis, Resection,
Insufficiency Intestine: SIBO
Schema for Unintentional Weight Loss - Differential Diagnosis Framework
Weight Loss without Inflammation:
 • Decreased Intake: Food
Malabsorption: SIBO
IBD - Assessment of Lack of Response (sLOR) - Differential Diagnosis
Non-inflammatory mechanisms:
 • IBS
 • Fibrostenotic
salt diarrhea, SIBO
Management of Abdominal Distension and Bloating - Treatment Algorithm

Definitions
Pathophysiology
Organic/Pathologic Etiologies:
 • Small Intestinal Bowel Overgrowth (SIBO)
Bowel Overgrowth (SIBO
Causes of Fat Malabsorption - Differential Diagnosis
Biliary Duct Obstruction
 • Autoimmune— PBC, PSC
 • Infection— liver
Infectious • SIBO
Systemic Sclerosis (Scleroderma)
Multi-system autoimmune disease characterized by vasculopathy and progressive fibrosis of skin and internal organs
3
, dysmotility, SIBO
Nutrient Deficiencies and Supplementation Post Gastric Bypass Surgery
Nutrient Deficiencies:
 • Most frequent in the malabsorptive surgeries
, diarrhea and SIBO
Diarrhea with Normal Colonoscopy
 • Colonic: Bile acid malabsorption, Microscopic colitis, Overflow diarrhoea, Missed pathology
 •
• Infection: SIBO