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Small intestinal malabsorption in chronic alcoholism: a retrospective study of alcoholic patients by the (14)C-d-xylose breath test.
MedLine Citation:
PMID:  22229732     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Abstract Objective. The (14)C-d-xylose breath test was used at Ullevål University Hospital in the period from 1986-1995 for malabsorption testing. The objective of this retrospective study was to reveal whether patients with chronic alcoholism may have intestinal malabsorption. Materials and methods. The consecutive (14)C-d-xylose breath test database was reviewed and patients with the diagnosis of chronic alcoholism were identified. (14)C-d-xylose breath test results of the alcoholic patients were compared with the results of untreated coeliac patients and patient and healthy controls. In the (14)C-d-xylose breath test, (14)C-d-xylose was dissolved in water and given orally after overnight fast. Breath samples were taken at 30-min intervals for 210 min, and (14)CO(2) : (12)CO(2) ratios were calculated for each time point, presenting a time curve for (14)C-d-xylose absorption. Urine was collected after 210 min and the fraction of the total d-xylose passed was calculated (U%). (14)CO(2) in breath and (14)C-d-xylose in urine were analyzed using liquid scintillation. Results. Both breath and urine analysis revealed a pattern of malabsorption in alcoholics comparable with untreated coeliac patients, with significantly reduced absorption of d-xylose compared with patient and healthy controls. Conclusion. Alcoholic patients have a significantly reduced (14)C-d-xylose absorption, comparable with untreated coeliac patients. This indicates a reduced intestinal function in chronic alcoholism.
Authors:
Håvar B Hope; Viggo Skar; Olav Sandstad; Einar Husebye; Asle W Medhus
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-1-10
Journal Detail:
Title:  Scandinavian journal of gastroenterology     Volume:  -     ISSN:  1502-7708     ISO Abbreviation:  -     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2012-1-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0060105     Medline TA:  Scand J Gastroenterol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Medical Department, Lovisenberg Diakonale Hospital , Oslo , Norway.
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