Fat Malabsorption in Cystic Fibrosis: Comparison of Quantitative Fat Assay and a Novel Assay Using Fecal Lauric/Behenic Acid

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Fat malabsorption in cystic fibrosis: comparison of quantitative fat assay and a novel assay using fecal lauric/behenic acid.

OBJECTIVES The gold standard for the diagnosis of fat malabsorption, the 72-hour fat balance study, requires a 3-day collection to generate a coefficient of fat absorption (CFA). We hypothesized that a new test using behenic acid (behenate test) as a nonabsorbable lipid marker may provide a facile means to assess fat absorption. The study proposed to answer 2 questions: first, whether the behen...

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Effect of misoprostol on fat malabsorption in cystic fibrosis.

Misoprostol, a synthetic prostaglandin that is known to reduce gastric acid production and stimulate duodenal bicarbonate production, was evaluated in 22 patients with cystic fibrosis. In those patients who had greater than 10% fat malabsorption while taking pancrease the addition of misoprostol significantly reduced the degree of fat malabsorption.

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A semiquantitative screening test and quantitative assay for total fecal fat.

The gravimetric analysis of total fecal fat by a proposed chloroform extraction procedure has been shown to compare very closely with an accepted procedure involving a petroleum ether extraction, at all levelsof fecal fat. The decrease in the density of the chloroform by the fecal fat is used as a semiquantitative measure of fat concentration. This is accomplishedby noting the bouyancy of the c...

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Fat balance in cystic fibrosis: is it only a simple matter of maldigestion and malabsorption?

Cystic fibrosis (CF), the most common severe genetic disease in Caucasian populations, causes a generalized disorder of the secretory epithelia of all exocrine glands. The basic defect of altered salt and water transport leads to secondary alterations of the pancreas and the gastrointestinal, hepatobiliary and respiratory tracts. Fifteen years after the identification of the gene locus for CF [...

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ژورنال

عنوان ژورنال: Journal of Pediatric Gastroenterology & Nutrition

سال: 2010

ISSN: 0277-2116

DOI: 10.1097/mpg.0b013e3181b18308