Evidence mapPaperPMID 40284229Full record

ReviewNutrients2025

Small Intestinal Bacterial and Fungal Overgrowth: Health Implications and Management Perspectives.

Natalie Soliman, Caroline Kruithoff, Erin Marie San Valentin, Ahmed Gamal, Thomas S McCormick, Mahmoud Ghannoum

Abstract readReview
In one paragraph

Review in Nutrients, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Article
  2. Review
  3. Evaluating the Risk ofJournal of clinical medicine · 2026
    Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Review
  9. Jejunal diverticular disease: A gastrointestinal bleeding enigma.World journal of gastrointestinal pathophysiology · 2025
    Review
  10. Review
  11. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Natalie SolimanHeritage College of Osteopathic Medicine, Ohio University, Cleveland, OH 44122, USA.
Caroline KruithoffHeritage College of Osteopathic Medicine, Ohio University, Cleveland, OH 44122, USA.ORCID 0000-0003-0168-5163
Erin Marie San ValentinCenter for Medical Mycology and Integrated Microbiome Core, Department of Dermatology, Case Western Reserve University, Cleveland, OH 44106, USA.ORCID 0000-0001-5998-6423
Ahmed GamalUniversity Hospitals St. John Medical Center, Cleveland, OH 44145, USA.ORCID 0000-0001-7215-4445
Thomas S McCormickCenter for Medical Mycology and Integrated Microbiome Core, Department of Dermatology, Case Western Reserve University, Cleveland, OH 44106, USA.
Mahmoud GhannoumCenter for Medical Mycology and Integrated Microbiome Core, Department of Dermatology, Case Western Reserve University, Cleveland, OH 44106, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesSmall Intestinal Bacterial Overgrowth (SIBO) and Small Intestinal Fungal Overgrowth (SIFO) are distinct yet often overlapping conditions characterized by an abnormal increase in microbial populations within the small intestine. SIBO results from an overgrowth of colonic bacteria, while SIFO is driven by fungal overgrowth, primarily involving

methodsA comprehensive review of current literature was conducted, focusing on the pathophysiology, diagnostic modalities, and therapeutic approaches for SIBO and SIFO.

resultsSIBO is commonly associated with factors such as reduced gastric acid secretion, impaired gut motility, and structural abnormalities like bowel obstruction and diverticula. It is frequently diagnosed using jejunal aspirates (≥10

conclusionThe clinical overlap and frequent misdiagnosis of SIBO and SIFO highlight the need for improved diagnostic tools and a multidisciplinary approach to management. This review emphasizes the importance of understanding the mechanisms behind SIBO and SIFO, how they relate to other health outcomes, and potential management strategies to optimize patient care and therapeutic outcomes.

Indexed as

BacteriaBlind Loop SyndromeFungiGastrointestinal MicrobiomeIntestine, SmallDysbiosisHumansRisk Factorsdysbiosisgut microbiomeSIBOSIFOsmall intestinal bacterial overgrowthsmall intestinal fungal overgrowth

Identifiers

PMID40284229
PMCPMC12030604

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.