DIAGNOSIS OF BACTERIAL OVERGROWTH AFTER CULTURING PROXIMAL SMALL-BOWEL ASPIRATE OBTAINED DURING ROUTINE UPPER GASTROINTESTINAL ENDOSCOPY
DIAGNOSIS OF BACTERIAL OVERGROWTH AFTER CULTURING PROXIMAL SMALL-BOWEL ASPIRATE OBTAINED DURING ROUTINE UPPER GASTROINTESTINAL ENDOSCOPY
复制标题
DOI：
10.3109/00365529208999959
复制
发表时间：
1992-03-01
影响因子：
1.9
通讯作者：
VISCHER, W
中科院分区：
文献类型：
--
作者：
BARDHAN, PK;GYR, K;VISCHER, W
本研究的目的是评估通过纤维胃肠内窥镜从小肠中获得用于培养的抽吸液的方法，用于诊断小肠过度生长。研究人群包括10名健康志愿者和26名常规内镜检查的各种胃肠道疾病患者。待培养的材料在幽门远端约25至30 cm处或从传入环路（Billroth-II患者）直接可视化下获得，其中无菌护套冲洗管穿过内窥镜的抽吸通道。如果微生物总数≥ 10（5）/ml，则认为培养物细菌过度生长呈阳性。所有健康志愿者和21例未手术患者中的16例无菌或无意义的生长，而所有5例Billroth-II手术患者均呈阳性过度生长。内镜下收集近端胃肠液进行培养的方法简单，可在常规内镜检查期间进行。
The purpose of this study was to evaluate the method of obtaining aspirated fluid for culture from the small intestine through a fiberoptic gastrointestinal endoscope for diagnosing small-bowel overgrowth. The study population consisted of 10 healthy volunteers and 26 patients with various gastrointestinal problems referred for routine endoscopic examination. The material to be cultured was obtained under direct visualization approximately 25 to 30 cm distal to the pylorus or from the afferent loop (in Billroth-II patients) with a sterilized sheathed wash pipe passed through the suction channel of the endoscope. Cultures were considered positive for bacterial overgrowth if total counts of organisms were 10(5)/ml or more. All healthy volunteers and 16 of 21 unoperated patients had sterile or insignificant growth, whereas all 5 patients who had Billroth-II operations had positive overgrowth. The endoscopic method for collection of proximal gastrointestinal fluid for culture is simple and can be performed during routine endoscopy.