Small Intestinal Permeability in Pediatric Clinical Practice

Passive permeability of small intestine to lactulose and mannitol was studied in children suspected of having intestinal disease, using a hypertonic differential sugar absorption test. Children with coeliac disease and cowsʼ milk intolerance were shown to have an elevated urinary lactulose/mannitol...

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Veröffentlicht in:Journal of pediatric gastroenterology and nutrition 1987-09, Vol.6 (5), p.697-701
Hauptverfasser: Hamilton, I, Hill, A, Bose, B, Bouchier, I A. D, Forsyth, J S
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container_end_page 701
container_issue 5
container_start_page 697
container_title Journal of pediatric gastroenterology and nutrition
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creator Hamilton, I
Hill, A
Bose, B
Bouchier, I A. D
Forsyth, J S
description Passive permeability of small intestine to lactulose and mannitol was studied in children suspected of having intestinal disease, using a hypertonic differential sugar absorption test. Children with coeliac disease and cowsʼ milk intolerance were shown to have an elevated urinary lactulose/mannitol recovery ratio when compared with controls, children with normal jejunal biopsy, or children in whom alternative explanations for failure to thrive had been demonstrated. The abnormality in permeability ratio principally reflects a reduced urinary recovery of mannitol following oral administration. This study demonstrates that a hypertonic sugar absorption test is well tolerated even by young children, is practicable in routine clinical pediatric practice, and is capable of demonstrating abnormal intestinal function in children with small intestinal disease.
doi_str_mv 10.1097/00005176-198709000-00006
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identifier ISSN: 0277-2116
ispartof Journal of pediatric gastroenterology and nutrition, 1987-09, Vol.6 (5), p.697-701
issn 0277-2116
1536-4801
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source MEDLINE; Journals@Ovid Complete
subjects Adolescent
Biological and medical sciences
Celiac Disease - metabolism
Child
Child, Preschool
Disaccharides - metabolism
Female
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Infant
Intestine, Small - metabolism
Jejunum - metabolism
Lactose Intolerance - metabolism
Lactulose - metabolism
Male
Mannitol - metabolism
Medical sciences
Other diseases. Semiology
Permeability
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
title Small Intestinal Permeability in Pediatric Clinical Practice
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