{"id":45676,"date":"2025-10-07T10:51:19","date_gmt":"2025-10-07T08:51:19","guid":{"rendered":"https:\/\/www.servidigest.com\/?p=45676"},"modified":"2025-10-07T10:56:47","modified_gmt":"2025-10-07T08:56:47","slug":"sobrecreixement-bacteria-de-lintesti-prim-sibo","status":"publish","type":"post","link":"https:\/\/www.servidigest.com\/ca\/sobrecreixement-bacteria-de-lintesti-prim-sibo\/","title":{"rendered":"Sobrecreixement Bacteri\u00e0 de l&#8217;Intest\u00ed Prim (SIBO)"},"content":{"rendered":"<p>El <strong>Sobrecreixement Bacteri\u00e0 de l&#8217;Intest\u00ed Prim<\/strong> o <strong>SIBO<\/strong> (procedent de les seves sigles en Ingl\u00e9s <em>Small Intestinal Bacterial Overgrowth<\/em>) \u00e9s un tipus de <strong>disbiosis intestinal<\/strong> o desequilibri de la Microbiota de l&#8217;intest\u00ed, que es caracteritza pel <strong>creixement anormal de microorganismes comensals<\/strong> (propis) del c\u00f2lon en l&#8217;intest\u00ed prim, on normalment han d&#8217;estar en una quantitat significativament menor.<\/p>\n<p>Quan aix\u00f2 succeeix, la <strong>fermentaci\u00f3 d&#8217;alguns aliments com la fibra vegetal<\/strong> ocorre preco\u00e7ment en el proc\u00e9s digestiu, causant que al poc temps despr\u00e9s de la ingesta d&#8217;aliments es produeixi un <strong>augment en el gas intestinal<\/strong> que el pacient interpreta com a <strong>distensi\u00f3 o \u201cinflor\u201d abdominal<\/strong>, que \u00e9s el <strong>s\u00edmptoma cardinal i m\u00e9s freq\u00fcent<\/strong> dels pacients que cursen amb aquesta condici\u00f3 que ha anat augmentant en les consultes d&#8217;Aparell Digestiu en l&#8217;actualitat i que pot estar associada a altres condicions com la <strong>S\u00edndrome d&#8217;Intest\u00ed Irritable<\/strong>.<\/p>\n<h2>Tipus de SIBO<\/h2>\n<p>Segons el gas que predomini en la fermentaci\u00f3 bacteriana es diferencien dos subtipus de SIBO:<\/p>\n<ul>\n<li><strong>Productor d&#8217;hidrogen<\/strong><\/li>\n<li><strong>Productor de met\u00e0<\/strong><\/li>\n<\/ul>\n<p>Aquests condicionaran al seu torn que s&#8217;associ\u00efn altres s\u00edmptomes com a tend\u00e8ncia a la <strong>diarrea<\/strong> o al <strong>restrenyiment<\/strong>.<\/p>\n<h2>S\u00edmptomes associats<\/h2>\n<p>En la pr\u00e0ctica cl\u00ednica s&#8217;observa que els pacients amb diagn\u00f2stic de SIBO poden presentar altres s\u00edmptomes com a <strong>fatiga<\/strong>, <strong>cansament<\/strong>, <strong>variacions en el pes corporal<\/strong> i <strong>alteracions nutricionals<\/strong>, sense que la relaci\u00f3 causal hagi pogut verificar-se expl\u00edcitament en l&#8217;evid\u00e8ncia cient\u00edfica.<\/p>\n<h2>Diagn\u00f2stic<\/h2>\n<p>La forma m\u00e9s sensible i espec\u00edfica per a fer el diagn\u00f2stic \u00e9s l&#8217;<strong>aspirat yeyunal<\/strong>, no obstant aix\u00f2 a l&#8217;\u00e9sser una prova invasiva no es practica de manera rutin\u00e0ria.<\/p>\n<p>En la pr\u00e0ctica cl\u00ednica es realitzen les <strong>Proves d&#8217;Aire Espirat amb Glucosa o Lactulosa<\/strong> que es basen en la ingesta d&#8217;un d&#8217;aquests substrats que s\u00f3n fermentats pels bacteris intestinals amb el posterior mesurament del gas espirat en tres o cinc hores. Aquestes proves han de ser interpretades per professionals especialitzats que puguin correlacionar els seus resultats amb la simptomatologia del pacient i la seva hist\u00f2ria cl\u00ednica.<\/p>\n<p>En molts casos s\u00f3n necessaris m\u00e9s estudis amb <strong>proves d&#8217;endosc\u00f2pia o d&#8217;imatge<\/strong> per a fer el diagn\u00f2stic diferencial amb altres entitats cl\u00edniques de major severitat.<\/p>\n<h2>Tractament<\/h2>\n<p>El <strong>tractament del SIBO<\/strong> ha de ser <strong>interdisciplinari<\/strong> i amerita l&#8217;\u00fas d&#8217;<strong>antibi\u00f2tics endoluminals o sist\u00e8mics<\/strong> i el suport d&#8217;una <strong>dieta personalitzada<\/strong> que ha de ser prescrita per un <strong>especialista en Nutrici\u00f3 amb experi\u00e8ncia cl\u00ednica<\/strong>.<\/p>\n\n\n<p><strong>Cl\u00ednica ServiDigest de Barcelona<\/strong>, com a referent a nivell nacional i internacional en la prevenci\u00f3, el diagn\u00f2stic preco\u00e7 i el tractament de patologies digestives, endocrines i metab\u00f2liques, disposa d&#8217;equips amb <strong>tecnologia d&#8217;\u00faltima generaci\u00f3 i Intel\u00b7lig\u00e8ncia Artificial<\/strong>, la qual cosa suposa un gran avan\u00e7 tecnol\u00f2gic que augmenta la qualitat assistencial, amb <strong>diagn\u00f2stics m\u00e9s precisos<\/strong> i <strong>millors resultats<\/strong>, revertint favorablement en la qualitat assistencial dels nostres pacients.<\/p>\n\n\n\n<p><strong>Dra. Rossy Silva Urdaneta<\/strong><br>Especialista en Gastroenterologia de Cl\u00ednica ServiDigest de Barcelona<br>Unitat de Microbiota Intestinal de Cl\u00ednica ServiDigest de Barcelona<br>Col\u00b7legiada n\u00fam. 64798 del COMB<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>El Sobrecreixement Bacteri\u00e0 de l&#8217;Intest\u00ed Prim o SIBO (procedent de les seves sigles en Ingl\u00e9s Small Intestinal Bacterial Overgrowth) \u00e9s un tipus de disbiosis intestinal o desequilibri de la Microbiota de l&#8217;intest\u00ed, que es caracteritza <a class=\"mh-excerpt-more\" href=\"https:\/\/www.servidigest.com\/ca\/sobrecreixement-bacteria-de-lintesti-prim-sibo\/\" title=\"Sobrecreixement Bacteri\u00e0 de l&#8217;Intest\u00ed Prim (SIBO)\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":45679,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[828,1],"tags":[819,1121,1120,1123,624,1117,888,1119,1115,1118,1116,1122],"class_list":{"0":"post-45676","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-articles-medics","8":"category-sin-categorizar","9":"tag-aparell-digestiu-2","10":"tag-aspirat-yeyunal","11":"tag-diagnostic-sibo","12":"tag-dieta-personalitzada","13":"tag-disbiosi-intestinal","14":"tag-inflor-abdominal","15":"tag-nutricio-ca","16":"tag-proves-aire-expirat","17":"tag-sibo","18":"tag-sindrome-intesti-irritable","19":"tag-sobrecreixement-bacteria","20":"tag-tractament-sibo"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.6 - 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