This study was designed to test the hypothesis that, in a patient with decreased renal function and an increased plasma creatinine concentration, a significant quantity of creatinine is excreted into the gut, as is true of urea and uric acid, and is metabolized by gut flora. [Methyl14C]creatinine was given intravenously to five patients and [methyl-14C] creatinine or Lcarbony!-14C] creatinine w...