Managing Bacterial Overgrowth
When the surgical resection results in loss of the ileocecal valve, bacteria from the colon can enter the small bowel. Small intestinal bacterial overgrowth (SIBO) occurs when there are too many bacteria in the small intestine.
Symptoms occur after eating because the bacteria in the intestine begin to consume the food in the small intestine before it can be absorbed. These bacteria give off hydrogen and other gases, which cause bloating and diarrhea. These bacteria can also contribute to malabsorption and loss of nutrients.
Here there is a treatment role for cycles of antibiotics, and a long-term maintenance approach with probiotics.