25 10 3-10 4 bacterial cells per mL [9]. The microbiota of gastric content can vary depending on diet or influx of bacteria from the mouth, esophagus and duodenum, however, these factors affect to a lesser degree the mucosa-associated microbiota, which is protected in the mucus and much more stable [15]. Culture independent studies on stomach microbiota showed that in the mucosal layer Firmicutes, Proteobacteria, Bacteroidetes, and Fusobacteria were the most abundant phyla, and Streptococcus, Prevotella, Porphyromonas, Neisseria, Haemophilus and Veillonella were common genera, but the distribution of taxa at genus level was highly variable between individuals [16-18]. One of the important, and certainly most well-studied species found in about fifty percent of the human population is Helicobacter pylori, which has been associated with gastric diseases, such as gastritis and cancer [15]. The duodenum is the last part of the upper GI tract and the first part of the small intestine, and it is discussed in the next section. The small intestine is the site where most of the host enzymatic digestion and absorption of nutrients, in particular lipids and simple carbohydrates, takes place. Studies on microbial composition are again very limited, with the majority of findings being based on biopsy specimens in association with various GI disorders. The duodenal lumen forms a unique environment characterized by a low pH, fast passage time, and the presence of antimicrobial bile and digestive enzymes, making it an unfavourable place for microbial growth. No culture independent studies up to date focused on resident microbiota in human duodenal content. On the other hand, biopsy samples provided insight in microbiota in the duodenal mucosa. In a recent study using 16S rRNA gene-targeted HITChip analysis of duodenal biopsies from children, thirteen phylum-like level bacterial groups were detected, and Proteobacteria, Bacilli and Bacteroidetes were the most abundant taxa, with each individual subject showing a different and unique microbial profile [19]. The predominant genus-like groups included Sutterella wadsworthensis et rel., Streptococcus mitis et rel., Aquabacterium, Streptococcus intermedius et rel., and Prevotella melaninogenica et rel. [19]. In a study using sequencing of 16S rRNA gene clone libraries, the most abundant phyla detected in biopsies from children and adult subjects were Firmicutes, Proteobacteria, Bacteroidetes, and also Actinobacteria, Fusobacteria and Deinococcus-Thermus [20]. Most sequences were classified as Streptococcus and Prevotella spp. in both age groups, and 5% of sequences that were found only in healthy children could not be assigned to any known genus. Bacterial community richness was higher in the adult group as compared to the juvenile group, with members of Veillonella, Neisseria, Haemophilus, Methylobacterium and Mycobacterium present in adult mucosa. It is interesting to note that overall duodenal microbiota composition seems to resemble the microbiota found in the oral cavity and esop...