Small Intestinal Bacterial Overgrowth Is Associated with Non-Alcoholic Fatty Liver Disease.
@article{Fialho2016SmallIB,
title={Small Intestinal Bacterial Overgrowth Is Associated with Non-Alcoholic Fatty Liver Disease.},
author={Andr{\'e}a BC Fialho and Andr{\'e}a BC Fialho and Prashanthi N. Thota and Arthur J. McCullough and Bo Shen},
journal={Journal of gastrointestinal and liver diseases : JGLD},
year={2016},
volume={25 2},
pages={
159-65
}
}BACKGROUND
Changes in gut bacteria play a role in type 2 diabetes mellitus (DM) and hepatic steatosis. There is a lack of studies evaluating the frequency and risk factors for non-alcoholic fatty liver disease (NAFLD) in patients tested for small intestinal bacterial overgrowth (SIBO).
AIM
To evaluate the frequency of NAFLD and associated risk factors in patients tested for SIBO.
METHODS
In this case-control study, 372 eligible patients submitted to glucose hydrogen/methane breath test for…
40 Citations
Association of small intestinal bacterial overgrowth and non-alcoholic fatty liver disease in children
- MedicineGASTROENTEROLOGY
- 2019
It has been found that non-alcoholic fatty liver disease is a risk factor for SIBO development and SIBO was associated with low-grade inflammation and adverse metabolic profile.
PERIPHERAL BLOOD ENDOTOXIN LEVELS ARE NOT ASSOCIATED WITH SMALL INTESTINAL BACTERIAL OVERGROWTH IN NONALCOHOLIC FATTY LIVER DISEASE WITHOUT CIRRHOSIS.
- Medicine, BiologyArquivos de gastroenterologia
- 2020
Serum endotoxin levels did not differ between patients with and without SIBO, nor did these levels change after antibacterial therapy, virtually ruling out the possibility that elevated endotoxinemia in non-cirrhotic patients with NAFLD is associated with SIBO.
The relationship between non-alcoholic fatty liver disease and small intestinal bacterial overgrowth among overweight and obese children and adolescents
- MedicineJournal of pediatric endocrinology & metabolism : JPEM
- 2017
Obese children with SIBO have an increased risk for developing nonalcoholic fatty liver disease and the relationship between intestinal dysbiosis and diet can influence the gut-liver axis, according to this study.
Association of small intestinal bacterial overgrowth with nonalcoholic fatty liver disease in children: A meta-analysis
- BiologyPloS one
- 2021
It has been suggested that small intestinal bacterial overgrowth (SIBO) could cause nonalcoholic fatty liver disease (NAFLD), but this association was not examined in children by meta-analysis. This…
Small intestinal bacterial overgrowth and nonalcoholic fatty liver disease: a systematic review and meta-analysis
- MedicineEuropean journal of gastroenterology & hepatology
- 2019
A significant association between NAFLD and SIBO was observed in this meta-analysis and funnel plot is relatively symmetric and is not suggestive of the presence of publication bias.
Low-grade small intestinal bacterial overgrowth is common in patients with non-alcoholic steatohepatitis on quantitative jejunal aspirate culture
- MedicineIndian Journal of Gastroenterology
- 2017
Low-grade bacterial overgrowth, particularly with Gram negative bacteria, was commoner in NASH than controls and there was no correlation between bacterial colony count and bacterial type and anthropometric and biochemical parameters.
NAFLD, Helicobacter species and the intestinal microbiome.
- BiologyBest practice & research. Clinical gastroenterology
- 2017
Characteristics of intestinal bacteria with fatty liver diseases and cirrhosis.
- Medicine, BiologyAnnals of hepatology
- 2019
Association between small intestinal bacterial overgrowth and beta-cell function of type 2 diabetes
- Medicine, BiologyThe Journal of international medical research
- 2020
Multiple linear regression analysis showed that body mass index, glucose at 0 minutes, and SIBO were independently associated with the early-phase and total-phase insulin secretion and may be involved in lower levels of insulin release and worse glycemic control.
A review of non‐alcoholic fatty liver disease in non‐obese and lean individuals
- Medicine, BiologyJournal of gastroenterology and hepatology
- 2020
There is not enough evidence on the treatment of NAFLD in non‐obese patients, the standard approach is to advise altering one's lifestyle in order to diminish visceral adiposity, so dietary modification, weight loss, and increased physical activity are highly recommended.
References
SHOWING 1-10 OF 42 REFERENCES
High Prevalence of Small Intestinal Bacterial Overgrowth in Patients with Morbid Obesity: A Contributor to Severe Hepatic Steatosis
- MedicineObesity surgery
- 2008
In morbidly obese patients, bacterial overgrowth prevalence is higher than in healthy subjects and is associated with severe hepatic steatosis.
Nonalcoholic fatty liver disease in patients with type 2 diabetes.
- MedicineClinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association
- 2004
Increased Orocecal Transit Time in Patients with Nonalcoholic Fatty Liver Disease
- Medicine, BiologyDigestive Diseases and Sciences
- 2005
Evidence of deranged intestinal motility in nondiabetic patients with NAFLD is shown and support the hypothesis that NA FLD could be linked to endotoxin-induced liver damage of intestinal origin.
Non-alcoholic fatty liver disease: The diagnosis and management.
- MedicineWorld journal of hepatology
- 2015
NAFLD is associated with obesity and insulin resistance and is considered the hepatic manifestation of the metabolic syndrome, a combination of medical conditions including type 2 diabetes mellitus, hypertension, hyperlipidemia, and visceral adiposity.
Clinical, laboratory and histological associations in adults with nonalcoholic fatty liver disease
- MedicineHepatology
- 2010
Readily available clinical and laboratory variables can predict advanced fibrosis in adults with NAFLD, but additional information is needed to reliably predict the presence and severity of NASH.
Association between diabetes, family history of diabetes, and risk of nonalcoholic steatohepatitis and fibrosis
- MedicineHepatology
- 2012
Family history of diabetes, especially among nondiabetics, is associated with NASH and fibrosis in NAFLD, and diabetes is strongly associated with risk of NASH, fibrosis, and advanced fibrosis.
Prevalence of and risk factors for nonalcoholic fatty liver disease: The Dionysos nutrition and liver study
- MedicineHepatology
- 2005
NAFLD is highly prevalent in the general population, is not associated with SLD, but is associated with many features of the metabolic syndrome.
Small Intestinal Bacterial Overgrowth in Nonalcoholic Steatohepatitis: Association with Toll-Like Receptor 4 Expression and Plasma Levels of Interleukin 8
- MedicineDigestive Diseases and Sciences
- 2010
NASH patients have a higher prevalence of small intestinal bacterial overgrowth which is associated with enhanced expression of TLR-4 and release of IL-8, and SIBO may have an important role in NASH through interactions with TLR -4 and induction of the pro-inflammatory cytokine, IL- 8.
Diagnosis of nonalcoholic fatty liver disease: invasive versus noninvasive.
- MedicineSeminars in liver disease
- 2008
A concise overview of the role of liver biopsy versus noninvasive diagnostic tools for the differentiation of fatty liver from nonalcoholic steatohepatitis as well as for the determination of presence and extent of fibrosis is provided.
Breath test for differential diagnosis between small intestinal bacterial overgrowth and irritable bowel disease: an observation on non-absorbable antibiotics.
- MedicineWorld journal of gastroenterology
- 2007
Only a "breath test" with lactulose can provide a differential diagnosis between IBS and SIBO, with almost identical symptoms; the use of non-absorbable antibiotics may be useful to reduce the degree of SIBO and related symptoms; it must be accompanied by the correction of the wrong alimentary habits underlying SIBO.


