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The clarification of the pathophysiology of small bacterial overgrowth in neurologically impaired patient by using non-invasive technique

Research Project

Project/Area Number 25461636
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Pediatrics
Research InstitutionKurume University

Principal Investigator

FUKAHORI SUGURU  久留米大学, 医学部, 講師 (90299488)

Co-Investigator(Kenkyū-buntansha) 八木 実  久留米大学, 医学部, 教授 (10251802)
浅桐 公男  久留米大学, 医学部, 准教授 (90268946)
Project Period (FY) 2013-04-01 – 2017-03-31
Project Status Completed (Fiscal Year 2016)
Budget Amount *help
¥4,940,000 (Direct Cost: ¥3,800,000、Indirect Cost: ¥1,140,000)
Fiscal Year 2015: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2014: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2013: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Keywords小腸内細菌増殖 / 重症心身障害児 / 水素呼気テスト / 胆道閉鎖症 / 胃食道逆流症 / 胃排出能 / 食道インピーダンス / C13呼気ガス分析 / C13呼気ガス分析
Outline of Final Research Achievements

Hydrogen breath test was conducted for 33 case of neurologically impaired patients (mean: 19.0 years, ranged 1 to 58 years). Three and 6 cases of all patients were determined as positive and pseudo-positive small bowel bacterial overgrowth (SBO), respectively. All cases administered anticonvulsant and one case administered gastric secretion inhibitor. All enrolled cases were not diagnosed as gastroesophageal reflux disease (GERD) by esophageal impedance monitoring, whereas demonstrated delayed gastric emptying (132.9-241.3 min).
The present study suggested that approximately 10% of neurologically impaired patients potentially suffers SBO although there was no significant relationship between SBO and clinical parameters, drugs, GERD and delayed gastric emptying, statistically.

Report

(5 results)
  • 2016 Annual Research Report   Final Research Report ( PDF )
  • 2015 Research-status Report
  • 2014 Research-status Report
  • 2013 Research-status Report
  • Research Products

    (16 results)

All 2017 2016 2015 2014 2013

All Journal Article (5 results) (of which Int'l Joint Research: 2 results,  Peer Reviewed: 5 results) Presentation (11 results)

  • [Journal Article] A baseline impedance analysis in neurologically impaired children: A potent parameter for estimating the condition of the esophageal mucosa.2017

    • Author(s)
      Suguru Fukahori*, Minoru Yagi*, Shinji Ishii*, Kimio Asagiri*, Nobuyuki Saikusa*, Naoki Hashizume*, Motomu Yoshida*, Daisuke Masui*, Naoko komatsuzaki*, Naruki Higashidate*, Hirotomo Nakahara* and Yoshiaki Tanaka* **
    • Journal Title

      Neurogastroenterology and Motility

      Volume: 29 Issue: 6

    • DOI

      10.1111/nmo.13012

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed
  • [Journal Article] The characteristics of salivary pepsin in patients with severe motor and intellectual disabilities2017

    • Author(s)
      Hashizume N, Fukahori S, Asagiri K, Ishii S, Saikusa N, Higashidate N, Yoshida M, Masui D, Sakamoto S, Tanaka Y, Yagi M, Yamashita Y
    • Journal Title

      Brain and Development

      Volume: 未定

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Severe delayed gastric emptying induces non-acid reflux up to proximal esophagus in neurologically impaired patients2017

    • Author(s)
      Shinji Ishii, Suguru Fukahori, Kimio Asagiri, Yoshiaki Tanaka, Nobuyuki Saikusa, Naoki Hashizume, Motomu Yoshida, Daisuke Masui, Naoko Komatsuzaki, Naruki Higashidate, Saki Sakamoto, Tomohiro Kurahachi, Shiori Tsuruhisa, Hirotomo Nakahara and Minoru Yagi
    • Journal Title

      Journal of Neurogastroenterology and Motility

      Volume: 未定

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Laparoscopic Nissen fundoplication mainly reduces the volume of acid reflux and potentially improves mucosal integrity up to the middle esophagus in neurologically impaired children detected by esophageal combined pH-multichannel intraluminal impedance measurements2016

    • Author(s)
      Suguru Fukahori*, Minoru Yagi*, Shinji Ishii*, Kimio Asagiri*, Nobuyuki Saikusa*, Naoki Hashizume*, Motomu Yoshida*, Daisuke Masui*, Saki Sakamoto*, Shihori Tsuruhisa*, Tomohiro Kurahachi* and Yoshiaki Tanaka* **
    • Journal Title

      Journal of Pediatric Surgery

      Volume: 51 Pages: 1283-7

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Laparoscopic Nissen fundoplication mainly reduces the volume of acid reflux and potentially improves mucosal integrity up to the middle esophagus in neurologically impaired children detected by esophageal combined pH-multichannel intraluminal impedance measurements2016

    • Author(s)
      Fukahori S
    • Journal Title

      Journal of Pediatric Surgery

      Volume: Epub ahead of print

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Presentation] 胆道閉鎖症術後患児における 水素呼気ガステスト装置を用いたSmall Bowel Bacterial Overgrowth (SBBO)診断の試み2017

    • Author(s)
      坂本早希 深堀優
    • Organizer
      日本外科学会学術集会
    • Place of Presentation
      パシフィコ横浜
    • Year and Date
      2017-04-27
    • Related Report
      2016 Annual Research Report
  • [Presentation] 当科で24時間食道インピーダンスpH検査を施行した重心77症例のGERDの特徴の解析2016

    • Author(s)
      深堀 優
    • Organizer
      日本外科学会学術集会
    • Place of Presentation
      大阪国際会議場
    • Year and Date
      2016-04-14
    • Related Report
      2016 Annual Research Report
  • [Presentation] 13C-acetate呼気ガス分析を用いた噴門形成術・胃瘻造設を施行された重症心身障害者の術前後の胃排出能の検討2016

    • Author(s)
      石井信二 深堀 優
    • Organizer
      日本外科学会学術集会
    • Place of Presentation
      大阪国際会議場
    • Year and Date
      2016-04-14
    • Related Report
      2016 Annual Research Report
  • [Presentation] 唾液内Pepsin含有量を用いた胃食道逆流症診断方法は重症心身障害者に有効か?2016

    • Author(s)
      橋詰直樹 深堀優
    • Organizer
      日本外科学会学術集会
    • Place of Presentation
      大阪国際会議場
    • Year and Date
      2016-04-14
    • Related Report
      2016 Annual Research Report
  • [Presentation] 水素呼気ガステスト装置を用いたSmall Bowel Bacterial Overgrwothの診断の試み2016

    • Author(s)
      深堀優 坂本早希
    • Organizer
      第46回小児消化管機能研究会
    • Place of Presentation
      岡山県倉敷市
    • Year and Date
      2016-02-05
    • Related Report
      2015 Research-status Report
  • [Presentation] 水素呼気ガステスト装置を用いたSmall Bowel Bacterial Overgrowth (SBBO)診断の試み2015

    • Author(s)
      深堀 優, 坂本早季
    • Organizer
      第11回日本消化管学会学術集会
    • Place of Presentation
      東京都新宿 京王プラザホテル
    • Year and Date
      2015-02-15
    • Related Report
      2014 Research-status Report
  • [Presentation] 重症心身障害者における13C-acetate呼気ガス分析を用いた胃排出能と食道インピーダンスを用いた非酸性逆流の関連性の検討2015

    • Author(s)
      深堀 優, 石井信二
    • Organizer
      第45回日本小児消化管機能研究会
    • Place of Presentation
      埼玉県大宮市 大宮ソニックシティーホール
    • Year and Date
      2015-02-15
    • Related Report
      2014 Research-status Report
  • [Presentation] 当施設のGERD精査症例における24時間食道インピーダンスのベースライン値の解析2015

    • Author(s)
      深堀 優
    • Organizer
      第11回日本消化管学会学術集会
    • Place of Presentation
      東京都新宿 京王プラザホテル
    • Year and Date
      2015-02-14
    • Related Report
      2014 Research-status Report
  • [Presentation] 水素呼気ガステスト装置を用いたSBO診断の試み2014

    • Author(s)
      深堀 優, 坂本早季
    • Organizer
      第44回日本小児消化管機能研究会
    • Place of Presentation
      大阪
    • Related Report
      2013 Research-status Report
  • [Presentation] 当施設のGERD精査症例における24時間インピーダンスのベースライン値の解析2014

    • Author(s)
      深堀 優
    • Organizer
      第44回日本小児消化管機能研究会
    • Place of Presentation
      大阪
    • Related Report
      2013 Research-status Report
  • [Presentation] The Clinical Outcome of Biliary Atresia Performed Modified Kasai Procedure, Single Institutional Experience in Japan.2013

    • Author(s)
      深堀 優
    • Organizer
      4th World Congress of Pediatric Surgery
    • Place of Presentation
      Berlin Germany
    • Related Report
      2013 Research-status Report

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Published: 2014-07-25   Modified: 2019-07-29  

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