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J Pediatr Gastroenterol Nutr. 2011 May;52(5):632-4. doi: 10.1097/MPG.0b013e31820d5c16.

Is small-bowel bacterial overgrowth an underdiagnosed disorder in children with gastrointestinal symptoms?

Author information

  • 1PERI Centre and Mechanisms in Cell Biology and Disease Research Group, Sansom Institute for Health Research, School of Pharmacy and Medical Sciences, University of South Australia, Adelaide, Australia.

Erratum in

  • J Pediatr Gastroenterol Nutr. 2011 Dec;53(6):702.


Small-bowel bacterial overgrowth (SBBO) has been implicated in chronic abdominal pain and irritable bowel syndrome in children. This was a retrospective study that aimed to assess the occurrence of SBBO by the lactulose breath hydrogen test in children referred primarily for investigation of carbohydrate malabsorption (n = 287). There were profiles indicative of SBBO in 16% (39/250) of hydrogen-producing children. This indicated that SBBO may be more common in children with gastrointestinal symptoms and apparent carbohydrate malabsorption than previously recognised.

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