1. Interrelation of Tests of Intestinal Absorption
- Author
-
Joseph A. Rinaldo
- Subjects
medicine.medical_specialty ,Tropical sprue ,Malabsorption ,Hepatology ,business.industry ,Gastroenterology ,medicine.disease ,Intestinal absorption ,Steatorrhea ,Sprue ,Excretion ,Internal medicine ,medicine ,Pancreatitis ,medicine.symptom ,Exocrine pancreatic insufficiency ,business - Abstract
Tests useful in the assessment of intestinal absorption include measurement of the amount of ingested d-xylose in the urine, fasting serum carotene concentration, and fecal fat. The present investigation examines certain aspects of these tests, including the interrelation among them, the relation between the clinical severity of a disease of malabsorption and the variation of each test, and the determination of the most efficient application of the tests as a group. Subjects and Methods Seventy-two-hour fecal fat excretion, 4hour excretion of d-xylose in the urine, and fasting serum carotene concentration were obtained at approximately the same time in each of 45 patients with functional diarrhea but without steatorrhea and in 33 patients with steatorrhea. Of the 33 pa tients with steatorrhea, 10 had nontropical sprue, 9 had exocrine pancreatic insufficiency resulting from pancreatitis, and 14 had had partial gastrectomy. Examples of uncom plicated mucosal block, enzyme deficiency, or altered gastric function were used be cause differences could be more easily ex plained in well delineated cases. Patients with functional diarrhea were considered as ideal controls since they represent the most common problem in differential diagnosis. A group of 9 patients with regional enteritis was included in our original data but is reported for the purpose of contrast only and not in the same detail as the groups already mentioned. The functional diagnosis was established in the usual manner. A diagnosis of non tropical sprue was made by history, physical
- Published
- 1961