Use and abuse of hydrogen breath tests.

Abstract:

:Hydrogen breath tests are widely used to explore the pathophysiology of functional gastrointestinal disorders. Small intestinal bacterial overgrowth and carbohydrate malabsorption are disorders detected by these tests that have been proposed to be of great importance for symptoms in, for instance, irritable bowel syndrome. However, conclusions drawn from these studies are highly controversial and divergent results exist. There is also an extensive use of these tests in clinical practice with difficulties regarding interpretation of the tests and sometimes erroneous conclusions. The limitations and pitfalls of these tests will be reviewed in this article, and hopefully the occasional abuse of these tests can be turned into proper clinical and scientific use instead in the future.

journal_name

Gut

journal_title

Gut

authors

Simrén M,Stotzer PO

doi

10.1136/gut.2005.075127

keywords:

subject

Has Abstract

pub_date

2006-03-01 00:00:00

pages

297-303

issue

3

eissn

0017-5749

issn

1468-3288

pii

55/3/297

journal_volume

55

pub_type

杂志文章,评审

相关文献

GUT文献大全
  • Endothelin and vascular function in liver disease.

    abstract::The endothelins are a group of three related peptides with two receptor subtypes, ET(A) and ET(B). Following the discovery of endothelin 1 as a potent vasoconstrictor, there has been intense interest in the role of endothelin on vascular function in liver disease. Speculation on the role of endothelin in the pathogene...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2003.024703

    authors: Moore K

    更新日期:2004-02-01 00:00:00

  • Chronic immune colitis in rabbits.

    abstract::A chronic colitis has been induced in rabbits having many of the histological features of human ulcerative colitis. Animals were first immunised with the common enterobacterial antigen of Kunin and haemagglutinating antibodies demonstrated in high titre. An immune complex colitis was then established by the injection ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.20.1.1

    authors: Mee AS,McLaughlin JE,Hodgson HJ,Jewell DP

    更新日期:1979-01-01 00:00:00

  • Osteopenia and osteomalacia after gastrectomy: interrelations between biochemical markers of bone remodelling, vitamin D metabolites, and bone histomorphometry.

    abstract::The prevalence of metabolic disease in a population of 68 postgastrectomy patients was assessed using histomorphometric evaluation of transiliac bone biopsy specimens after tetracycline double labelling. Trabecular bone volume was significantly lower in the postgastrectomy group (p less than 0.01): 62% of the patients...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.32.11.1303

    authors: Bisballe S,Eriksen EF,Melsen F,Mosekilde L,Sørensen OH,Hessov I

    更新日期:1991-11-01 00:00:00

  • Controlled trial comparing prednisolone with an elemental diet plus non-absorbable antibiotics in active Crohn's disease.

    abstract::In a randomised clinical trial, patients with moderately active Crohn's disease received either prednisolone 0.5 mg/kg/day plus a normal diet, or an elemental diet plus oral framycetin, colistin and nystatin. Patients were assessed using the Crohn's disease activity index (CDAI), ESR, and faecal granulocyte excretion ...

    journal_title:Gut

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1136/gut.26.10.994

    authors: Saverymuttu S,Hodgson HJ,Chadwick VS

    更新日期:1985-10-01 00:00:00

  • Motor activity recorded in the unprepared colon of healthy humans.

    abstract::A manometric method was developed to study the motor activity in the unprepared human colon, and the results in eight healthy subjects were compared with those obtained in the same subjects after bowel cleansing with a non-absorbable solution containing polyethylene glycol 4000 (PEG). A tube assembly (4.5 m long, 12 l...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.37.5.649

    authors: Lémann M,Flourié B,Picon L,Coffin B,Jian R,Rambaud JC

    更新日期:1995-11-01 00:00:00

  • Opportunistic infections in patients with inflammatory bowel disease: prevention and diagnosis.

    abstract::Because of the increasing use of immunosuppressive and biological drugs, the occurrence of opportunistic infections has become a key safety issue for patients with inflammatory bowel disease (IBD). Consequently, improvement of healthcare workers' knowledge of this domain is urgent. In this review, the preventive measu...

    journal_title:Gut

    pub_type: 杂志文章,评审

    doi:10.1136/gut.2006.114660

    authors: Viget N,Vernier-Massouille G,Salmon-Ceron D,Yazdanpanah Y,Colombel JF

    更新日期:2008-04-01 00:00:00

  • Gastroparesis: separate entity or just a part of dyspepsia?

    abstract::Gastroparesis is defined by the presence of delayed gastric emptying (GE) in the absence of mechanical obstruction. Symptoms that have been attributed to gastroparesis include postprandial fullness, early satiation nausea and vomiting. Gastroprokinetic drugs are the preferred treatment option. A number of problems wit...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2013-306084

    authors: Stanghellini V,Tack J

    更新日期:2014-12-01 00:00:00

  • The predictive value of transabdominal ultrasonography in the diagnosis of biliary tract complications after orthotopic liver transplantation.

    abstract:BACKGROUND:In transplant recipients with choledococholedocostomy (CDCD), endoscopic retrograde cholangiopancreatography (ERCP) remains the gold standard for the diagnosis of biliary leak or strictures. Transabdominal ultrasonography (TAUS) has been used to screen patients with suspected biliary tract complications, pri...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.45.6.900

    authors: Hussaini SH,Sheridan MB,Davies M

    更新日期:1999-12-01 00:00:00

  • Colonic epithelial cell proliferation in hereditary non-polyposis colorectal cancer.

    abstract:BACKGROUND:Despite the recent discovery of four genes responsible for up to 90% of all cases of hereditary non-polyposis colorectal cancer (HNPCC), there will still be families in whom predictive testing is not possible. A phenotypic biomarker would therefore be useful. An upwards shift of the proliferative compartment...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.43.1.85

    authors: Green SE,Chapman P,Burn J,Burt AD,Bennett M,Appleton DR,Varma JS,Mathers JC

    更新日期:1998-07-01 00:00:00

  • Nodular regenerative hyperplasia mimicking cirrhosis of the liver.

    abstract::Nodular regenerative hyperplasia of the liver usually presents with signs of portal hypertension with little evidence of obvious liver disease. We report a 47 year old man who presented with clinical signs of decompensated cirrhosis, recurrent encephalopathy, and tense ascites but at liver transplant was found to have...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.31.6.725

    authors: McDonald JA,Painter DM,Gallagher ND,McCaughan GW

    更新日期:1990-06-01 00:00:00

  • Calcium in milk and fermentation by yoghurt bacteria increase the resistance of rats to Salmonella infection.

    abstract::Calcium in milk products stimulates gastric acid secretion and inhibits the cytolytic activity of intestinal contents. Based on these effects, it was hypothesised that calcium might lessen the severity of food borne intestinal infections. The possible differential effects of a low calcium milk and normal milk products...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.38.1.59

    authors: Bovee-Oudenhoven I,Termont D,Dekker R,Van der Meer R

    更新日期:1996-01-01 00:00:00

  • USF1 defect drives p53 degradation during Helicobacter pylori infection and accelerates gastric carcinogenesis.

    abstract:OBJECTIVE:Helicobacter pylori (Hp) is a major risk factor for gastric cancer (GC). Hp promotes DNA damage and proteasomal degradation of p53, the guardian of genome stability. Hp reduces the expression of the transcription factor USF1 shown to stabilise p53 in response to genotoxic stress. We investigated whether Hp-me...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2019-318640

    authors: Costa L,Corre S,Michel V,Le Luel K,Fernandes J,Ziveri J,Jouvion G,Danckaert A,Mouchet N,Da Silva Barreira D,Torres J,Camorlinga M,D'Elios MM,Fiette L,De Reuse H,Galibert MD,Touati E

    更新日期:2020-09-01 00:00:00

  • Detection of small hepatocellular carcinomas in cirrhotic livers using iodised oil computed tomography.

    abstract:BACKGROUND:The detection of hepatocellular cancers (HCC) is a major role of preoperative imaging in patients with end stage liver disease being considered for orthotopic liver transplantation (OLT). AIMS:To assess the sensitivity of iodised oil computed tomography (IOCT). PATIENTS AND METHODS:A prospective evaluation...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.41.3.404

    authors: Saada J,Bhattacharya S,Dhillon AP,Dick R,Burroughs AK,Rolles K,Davidson BR

    更新日期:1997-09-01 00:00:00

  • Effect of the gastric balloon versus sham procedure on weight loss in obese subjects.

    abstract::The mechanism by which intragastric balloons induce weight loss is not known, although they may act simply by reducing the amount of food needed to induce satiety. The knowledge that a balloon is present may influence the patients' eating patterns and reduce caloric intake and weight. In order to test whether the ball...

    journal_title:Gut

    pub_type: 临床试验,杂志文章

    doi:10.1136/gut.30.8.1054

    authors: Ramhamadany EM,Fowler J,Baird IM

    更新日期:1989-08-01 00:00:00

  • Ranitidine increases the bioavailability of postprandial ethanol by the reduction of first pass metabolism.

    abstract::Blood ethanol concentrations after separate oral dosing and intravenous infusion of ethanol (0.15 g/kg) were measured in 16 control subjects and 13 subjects treated with ranitidine. All subjects underwent routine upper gastrointestinal endoscopy. Peak blood ethanol concentrations, and area under the blood ethanol/time...

    journal_title:Gut

    pub_type: 临床试验,杂志文章

    doi:10.1136/gut.37.3.413

    authors: Brown AS,Fiaterone JR,Day CP,Bennett MK,Kelly PJ,James OF

    更新日期:1995-09-01 00:00:00

  • Increased concanavalin A induced suppression in treated and untreated coeliac disease.

    abstract::The generation of suppression by concanavalin A in peripheral blood mononuclear cells in treated and untreated coeliac subjects using an in vitro assay was found to be significantly increased when compared with controls. The response of peripheral blood mononuclear cells to the plant mitogen concanavalin A (con A) was...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.25.6.644

    authors: O'Farrelly C,McKeever U,Feighery C,Weir DG

    更新日期:1984-06-01 00:00:00

  • Histamine and duodenal ulceration in renal transplant recipients.

    abstract::Six of 25 renal transplant recipients had a duodenal ulcer at endoscopy. Histamine concentration and the activity of histamine methyltransferase, the degrading enzyme of histamine, were measured in gastric mucosal biopsies obtained at endoscopy and compared with patients with duodenal ulcer but not undergoing transpla...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.30.1.65

    authors: Timoney AG,Man WK,Spencer J,Taylor H,Williams G

    更新日期:1989-01-01 00:00:00

  • Symptoms and visceral perception in severe functional and organic dyspepsia.

    abstract:BACKGROUND:Hypersensitivity of gastric afferent pathways may play an aetiological role in symptoms of functional dyspepsia. AIMS:To determine whether patients with severe organic dyspepsia (associated with tissue irritation/injury) and those with functional dyspepsia (no detectable tissue irritation) differ in their p...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.42.6.814

    authors: Mertz H,Fullerton S,Naliboff B,Mayer EA

    更新日期:1998-06-01 00:00:00

  • Antibodies to Escherichia coli in chronic liver diseases.

    abstract::Patients with chronic active hepatitis or alcoholic cirrhosis have serum antibodies to many more serotypes of Escherichia coli than do patients with primary biliary cirrhosis or cryptogenic cirrhosis, or normal controls. They also have antibodies against more serotypes than cirrhotic patients with a portacaval shunt. ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.16.11.871

    authors: Simjee AE,Hamilton-Miller JM,Thomas HC,Brumfitt W,Sherlock S

    更新日期:1975-11-01 00:00:00

  • Prebiotic inulin-type fructans induce specific changes in the human gut microbiota.

    abstract:OBJECTIVE:Contrary to the long-standing prerequisite of inducing selective (ie, bifidogenic) effects, recent findings suggest that prebiotic interventions lead to ecosystem-wide microbiota shifts. Yet, a comprehensive characterisation of this process is still lacking. Here, we apply 16S rDNA microbiota profiling and ma...

    journal_title:Gut

    pub_type: 杂志文章,随机对照试验

    doi:10.1136/gutjnl-2016-313271

    authors: Vandeputte D,Falony G,Vieira-Silva S,Wang J,Sailer M,Theis S,Verbeke K,Raes J

    更新日期:2017-11-01 00:00:00

  • Activation of signal transducer and activator of transcription (STAT) 1 in human chronic inflammatory bowel disease.

    abstract:BACKGROUND:Increased expression of proinflammatory cytokines, including tumour necrosis factor alpha, interleukin 6, and interferon gamma, as well as activation of proinflammatory signalling molecules such as nuclear factor kappa B, is characteristic of inflammatory bowel disease (IBD). AIMS:To investigate expression ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.51.3.379

    authors: Schreiber S,Rosenstiel P,Hampe J,Nikolaus S,Groessner B,Schottelius A,Kühbacher T,Hämling J,Fölsch UR,Seegert D

    更新日期:2002-09-01 00:00:00

  • An immunodominant DQ8 restricted gliadin peptide activates small intestinal immune response in in vitro cultured mucosa from HLA-DQ8 positive but not HLA-DQ8 negative coeliac patients.

    abstract:BACKGROUND:Studies on intestinal T cell clones from the mucosa of patients with coeliac disease have led to the identification of immunogenic gliadin epitopes. One is HLA-DQ8 restricted, its recognition by T cells being increased by introduction of negatively charged residues operated by tissue transglutaminase. AIM:T...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.52.1.57

    authors: Mazzarella G,Maglio M,Paparo F,Nardone G,Stefanile R,Greco L,van de Wal Y,Kooy Y,Koning F,Auricchio S,Troncone R

    更新日期:2003-01-01 00:00:00

  • Clinical relevance of an unfused pancreatic duct system.

    abstract::In man, the main pancreatic duct is normally derived from ventral and dorsal embryological buds of the pancreas. In a minority of people, failure of fusion of the two buds results in separate drainage of the dorsal and ventral pancreas, so that the accessory duct provides the main drainage for the gland. Patients with...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.20.12.1066

    authors: Mitchell CJ,Lintott DJ,Ruddell WS,Losowsky MS,Axon AT

    更新日期:1979-12-01 00:00:00

  • Small intestinal structure and passive permeability in systemic sclerosis.

    abstract::Seventeen patients with proven systemic sclerosis had a peroral jejunal biopsy performed. Four biopsies were regarded as showing abnormalities, which were mostly confined to the deeper structures, although in two there was a minimal degree of villous atrophy without epithelial cell changes. Passive intestinal permeabi...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.21.4.293

    authors: Cobden I,Rothwell J,Axon AT,Dixon MF,Lintott DJ,Rowell NR

    更新日期:1980-04-01 00:00:00

  • Relation between GB virus C/hepatitis G virus and fulminant hepatic failure may be secondary to treatment with contaminated blood and/or blood products.

    abstract:BACKGROUND:The role of the recently discovered GB virus C (GBV-C)/hepatitis G virus in fulminant hepatic failure (FHF) has been debated. Although GBV-C RNA has been detected in many cases of FHF, recent data suggest that the relation between GBV-C and FHF may be accidental. AIMS:To retrospectively investigate the poss...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.44.2.274

    authors: Halasz R,Barkholt L,Lara C,Hultgren C,Ando Y,Broomé U,Fischler B,Nemeth A,Ericzon BG,Sönnerborg A,Sällberg M

    更新日期:1999-02-01 00:00:00

  • Absorption of sodium and water by human rectum measured by a dialysis method.

    abstract::A dialysis method for the study of intestinal absorption is described. Its use has been assessed in animals and normal human subjects and it has been applied to the measurement of rectal transport of sodium and water.When the luminal solution was of high sodium concentration (145 m-equiv/1), the sodium influx rate (lu...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.12.5.356

    authors: Edmonds CJ

    更新日期:1971-05-01 00:00:00

  • Antibody mediated hepatocyte injury in methyl dopa induced hepatotoxicity.

    abstract::To investigate the mechanisms underlying the hepatotoxicity induced by methyl dopa, we have examined sera from nine patients with liver damage following the use of the drug for evidence of sensitisation to drug altered liver cell membrane antigens using both immunofluorescence and antibody dependent cell mediated cyto...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.26.11.1233

    authors: Neuberger J,Kenna JG,Nouri Aria K,Williams R

    更新日期:1985-11-01 00:00:00

  • Peptic ulcer, cimetidine, and motor neurone disease--a record linkage study.

    abstract::A previous cohort study suggested that there might be an association between use of cimetidine and motor neurone disease. The Oxford Record Linkage Study was used to explore this hypothesis. In the analysis the presence of a peptic ulcer in patients after 1976 was taken as a proxy for cimetidine (and ranitidine) use. ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.34.12.1660

    authors: Vessey MP,Goldacre MJ,Seagroatt V,Yeates D

    更新日期:1993-12-01 00:00:00

  • Improving the selection of patients for upper gastrointestinal endoscopy.

    abstract::A retrospective study was undertaken to investigate how endoscopies yielding positive findings differ a priori from those yielding negative findings: and how those judged 'helpful' (in the sense of influencing management) differ a priori from those judged 'unhelpful'. A total of 483 patients undergoing endoscopy was s...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.34.2.187

    authors: Naji SA,Brunt PW,Hagen S,Mowat NA,Russell IT,Sinclair TS,Tang TM

    更新日期:1993-02-01 00:00:00

  • Progress towards the comprehensive control of hepatitis B in Africa: a view from South Africa.

    abstract::The carrier rate of hepatitis B virus (HBV) in black Africans averages 10.4% throughout the continent. Even within each country, however, there may be wide variations. HBV carriage in black Africans is largely established in early childhood, mostly through horizontal transmission. Perinatal transmission also occurs bu...

    journal_title:Gut

    pub_type: 杂志文章,评审

    doi:10.1136/gut.38.suppl_2.s31

    authors: Kew MC

    更新日期:1996-01-01 00:00:00