Handheld Breath Devices for SIBO – Clinical and Research Perspectives
Video course: 2.0 credit hours (general) from NANCEAC
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Do these devices change everything?
This is a CEU presentation on the clinical application and research support for handheld breath testing devices and their utility in SIBO testing and management.
We review the following research papers:
Barahona, Guillermo; Moran, Áine; Bride, Barry; Villatoro, Luisa; Burns, Robert B; Konings, Bo; et al. S1377 Postprandial Breath H2 Using a Portable Handheld App-Connected Device to Predict the Presence of Small Intestinal Bacterial Overgrowth as Well as the Response to Antibiotic Treatment, The American Journal of Gastroenterology: October 2021 – Volume 116 – Issue – p S632
Barahona, Guillermo BarryMc Bride, Áine Moran, Sahar Hawamdeh, Luisa Villatoro, Robert Burns, et ala]. Improving the Diagnosis of Small Intestinal Bacterial Overgrowth Using an At-Home Handheld App Connected Breath Analysis Device (AIRE). medRxiv 2022.04.21.22274143
Erdrich, Sharon, Edwin C K Tan, Jason A Hawrelak, Stephen P Myers, and Joanna E Harnett. 2021. Hydrogen – Methane Breath Testing Results Influenced by Oral Hygiene. Scientific Reports, 1–11.
Rezaie, Ali, Michelle Buresi, Anthony Lembo, Henry Lin, Richard McCallum, Satish Rao, et al. 2017. “Hydrogen and Methane-Based Breath Testing in Gastrointestinal Disorders: The North American Consensus.” The American Journal of Gastroenterology 112 (5): 775–84.
Shortt C, Brief J. PWE-098 A pilot validation study of an at-home hydrogen breath test device. Gut 2019;68:A219.
Shortt, Claire et al. “Mo1958 UTILITY OF A CONSUMER-FRIENDLY PORTABLE HYDROGEN BREATH ANALYSER DEVICE FOR MONITORING COLONIC FERMENTATION AND SENSATION IN RESPONSE TO SUPPLEMENTAL FIBER.” Gastroenterology 158 (2020)
Shrestha A, Prodhan UK, Mitchell SM, Sharma P, Barnett MPG, Milan AM, Cameron-Smith D. Validity of a Portable Breath Analyser (AIRE) for the Assessment of Lactose Malabsorption. Nutrients. 2019 Jul 17;11(7):1636.
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Learning Objectives
- Distinguish what gases are measured with Aire versus Aire2
- Judge the diagnostic agreement between Quintron and Aire devices in patients suspected of having SIBO
- Map the relationship between ‘fermentation scores’ and ppm
- Illustrate how you could use the Aire device to conduct formal SIBO breath tests
- Extrapolate hydrogen levels in the background of high methane
- Compare and contrast the pros and cons of using the Aire device
- Implement the clinician dashboard for breath testing
- Clarify why CO2 levels are not needed for Aire
