Prevalence of abnormal lactose breath hydrogen tests in children with functional abdominal pain

OBJECTIVES: The study was undertaken to determine the prevalence of abnormal lactose breath hydrogen test in children with non-organic chronic abdominal pain.

METHODS: Children with chronic abdominal pain were examined and investigated for organic causes. All children without a known organic cause underwent lactose and glucose breath hydrogen test. After a standard dose of 2 g/kg of lactose to a maximum of 50 g, hydrogen in breath was measured at 15 min intervals for 3 h. A rise of 20 ppm above baseline was considered suggestive of lactose malabsorption.

RESULTS: Of 108 children screened, organic causes were found in 46 children. Sixty-two patients without any organic cause underwent hydrogen breath test. Lactose hydrogen breath test (HBT) was positive in 36 of 62 (58%), while 11 (17%) had positive HBT with glucose suggestive of small intestinal bacterial overgrowth (SIBO). Twenty out of 34 (59%) improved on lactose free diet while 8 out of 11 (72%) children of SIBO improved on antibiotics.

CONCLUSIONS: Lactose malabsorption was seen in 58% of children with non-organic chronic abdominal pain.

Medienart:

E-Artikel

Erscheinungsjahr:

2017

Erschienen:

2017

Enthalten in:

Zur Gesamtaufnahme - volume:36

Enthalten in:

Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology - 36(2017), 3 vom: Mai, Seite 179-183

Sprache:

Englisch

Beteiligte Personen:

Garg, Neha [VerfasserIn]
Basu, Srikanta [VerfasserIn]
Singh, Preeti [VerfasserIn]
Kumar, Ruchika [VerfasserIn]
Sharma, Lokesh [VerfasserIn]
Kumar, Praveen [VerfasserIn]

Links:

Volltext

Themen:

7YNJ3PO35Z
Hydrogen
Hydrogen breath tests
J2B2A4N98G
Journal Article
Lactose
Recurrent acute pancreatitis
Small intestinal bacterial overgrowth

Anmerkungen:

Date Completed 17.11.2017

Date Revised 26.11.2019

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s12664-017-0750-8

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM272693618