Dec 10, 1977

Bacterial overgrowth syndrome without "blind loop": A cause for malnutrition in the elderly

Lancet
S H RobertsE H Jarvis

Abstract

Probable bacterial contamination of the small bowel without an anatomical sump occurred in 5 elderly patients (age 68--94). They presented with severe general deterioration in health rather than with obvious features of malabsorption. This syndrome has not been clearly described before. Bacterial deconjugation of bile salts was indentified by the 14C-glycocholic-acid breath test. Investigations for other causes of malabsorption, including small-bowel biopsy and pancreatic scan, revealed no abnormality. After prolonged ill-health despite an adequate diet in hospital, all 5 subjects made a striking recovery after treatment with antibiotics. This condition may be quite common, particularly in malnourished elderly people.

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Mentioned in this Paper

Bile Acid Measurement
Antibiotic throat preparations
Small Intestinal Wall Tissue
Antifungal Antibiotics, Topical
Hallucinations
Topicycline
Antibiotics, Gynecological
Malnutrition
Dalacin C
Breath Tests

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