PWE-081 Hydrogen breath testing: high incidence of small Intestinal bacterial overgrowth diagnosis using lactulose versus glucose

Elisabeth Kirton, Lois Anderson-Leary, John Gallagher, Samantha Hewitt, Jennifer Burke, Warren Jackson
2019 Posters   unpublished
an IBS symptom questionnaire, the Hospital Anxiety and Depression Scores (HAD), and WHO-QoL questionnaire. The Primary outcome was a reduction in total cost over the follow up period. Secondary outcomes were a reduction in HADS and an increase in WHO-QOl Results 24 patients have been enrolled into the clinic to date. The first 5 patients have been analysed. There were 22 fewer contacts after COGS attendance (inpatient, outpatient, emergency department, and day case). Follow up was between 5 and
more » ... p was between 5 and 7 months. This was a reduction of 4.4 contacts per patient (0.6 -0.9 contacts per patient per month) Overall costs were £8,392 lower, equivalent to £1,678 saving per patient (£240 -£336 per patient per month). Individual WHO-QOL-BREF results have shown up to a 23 point increase. Staff reflections can be summarised as a growing confidence in the power of listening and acceptance of incremental gains in symptoms. Conclusions We have demonstrated that a novel multidisciplinary approach to patients in gastroenterology is cost effective, leads to increased staff satisfaction and have preliminary data showing improved patient reported outcomes.
doi:10.1136/gutjnl-2019-bsgabstracts.401 fatcat:gcumebbyt5fkfiwaijk6qrrpju