Clinical utility of small intestinal bacterial overgrowth (SIBO) testing in guiding management of gas-bloat symptoms after antireflux surgery

SIBO was present in over half of patients with persistent bloating after ARS and was associated with more severe symptoms. Antibiotic treatment led to substantial symptom improvement and increased satisfaction. These findings suggest that SIBO testing may guide targeted therapy and improve outcomes in selected patients following antireflux surgery.

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Publication Details

Journal
Surgical Endoscopy
Published
2025-08-28
DOI
https://doi.org/10.1007/s00464-025-12092-7
Primary Topic
Gastroesophageal reflux and treatments
Type
article
Field-Weighted Citation Impact
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article

Clinical utility of small intestinal bacterial overgrowth (SIBO) testing in guiding management of gas-bloat symptoms after antireflux surgery

Ann DeWitt, Kurtis J. Swanson, Inanc Sarici, Sven E. Eriksson et al.
Surgical Endoscopy
Gastroesophageal reflux and treatments
article

Clinical utility of small intestinal bacterial overgrowth (SIBO) testing in guiding management of gas-bloat symptoms after antireflux surgery

Ann DeWitt, Kurtis J. Swanson, Inanc Sarici, Sven E. Eriksson, Shahin Ayazi, Ping Zheng, Naveed Chaudhry, Sarah Hanuschock
article en

Abstract

SIBO was present in over half of patients with persistent bloating after ARS and was associated with more severe symptoms. Antibiotic treatment led to substantial symptom improvement and increased satisfaction. These findings suggest that SIBO testing may guide targeted therapy and improve outcomes in selected patients following antireflux surgery.

Surgical EndoscopyVol. 39(11)
Allegheny Health Network (US), Western Pennsylvania Hospital (US), Drexel University (US)
Openalex Percentile: Top 66%
Gastroesophageal reflux and treatments
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