Malabsorption other diagnostic studies: Difference between revisions
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*[[Radionuclide|Radio isotope]] tests e.g. 75SeHCAT, 95mTc to exclude terminal ileal disease. | *[[Radionuclide|Radio isotope]] tests e.g. 75SeHCAT, 95mTc to exclude terminal ileal disease. | ||
*Sugar probes or sub 51Cr-EDTA to determine intestinal permeability.<ref name="julio">{{cite journal |author=Bai J |title=Malabsorption syndromes |journal=Digestion |volume=59 |issue=5 |pages=530-46 |year=1998 |pmid=9705537}}</ref> | *Sugar probes or sub 51Cr-EDTA to determine intestinal permeability.<ref name="julio">{{cite journal |author=Bai J |title=Malabsorption syndromes |journal=Digestion |volume=59 |issue=5 |pages=530-46 |year=1998 |pmid=9705537}}</ref> | ||
*Glucose hydrogen breath test for [[bacterial overgrowth]] | *Glucose hydrogen breath test for [[bacterial overgrowth]]. | ||
*[[D-xylose]] absorption test. lower level in urine after ingestion indicates bacterial overgrowth or reduced absorptive surface. normal in pancreatic insufficiency. | *[[D-xylose]] absorption test. lower level in urine after ingestion indicates bacterial overgrowth or reduced absorptive surface. normal in pancreatic insufficiency. | ||
*Bile salt breath test to determine [[bile salt]] malabsorption. | *Bile salt breath test to determine [[bile salt]] malabsorption. | ||
Revision as of 19:08, 27 March 2013
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Malabsorption |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Other Diagnostic Studies
Interventional Studies
- Endoscopy is frequently undertaken, but to visualize small intestine which can be up to 7m long is indeed a daunting task.
- OGD to reveal duodenal lesion also for D2 biopsy. (for celiac disease, tropical sprue, whipple disease, abetalipoproteinemia etc)
- Enteroscopy for enteropathy and jejunal aspirate and culture for bacterial overgrowth.
- Colonoscopy is helpful in colonic or ileal lesion.
- ERCP: MRCP to complement or as an alternative to ERCP
Other Investigations
- Radio isotope tests e.g. 75SeHCAT, 95mTc to exclude terminal ileal disease.
- Sugar probes or sub 51Cr-EDTA to determine intestinal permeability.[1]
- Glucose hydrogen breath test for bacterial overgrowth.
- D-xylose absorption test. lower level in urine after ingestion indicates bacterial overgrowth or reduced absorptive surface. normal in pancreatic insufficiency.
- Bile salt breath test to determine bile salt malabsorption.
- Schilling test to establish cause of B12 deficiency.
- Lactose H2 breath test for lactose intolerance.