Intestinal permeability in gastrointestinal disorders

التفاصيل البيبلوغرافية
العنوان: Intestinal permeability in gastrointestinal disorders
المؤلفون: R. H. Resnick, Henry D. Royal, R. Barron, T. Werth, W. Marshall
المصدر: Digestive Diseases and Sciences. 35:205-211
بيانات النشر: Springer Science and Business Media LLC, 1990.
سنة النشر: 1990
مصطلحات موضوعية: medicine.medical_specialty, Gastrointestinal Diseases, Physiology, Biliary Tract Diseases, Urinary system, Administration, Oral, Sensitivity and Specificity, Gastroenterology, Permeability, chemistry.chemical_compound, Crohn Disease, Oral administration, Internal medicine, Outpatients, medicine, Humans, Ingestion, Intestinal Mucosa, Colitis, Intestinal permeability, business.industry, Liver Diseases, Pentetic acid, Organotechnetium Compounds, Pentetic Acid, Hepatology, medicine.disease, Ulcerative colitis, Hospitalization, chemistry, Technetium Tc 99m Pentetate, Colitis, Ulcerative, business
الوصف: This study examined intestinal permeability in gastrointestinal disorders by measuring urinary recovery following oral administration of [99mTc]DTPA in 117 subjects. The mean percent of the ingested dose excreted in a 24-hr urine sample was 2.8 +/- 1.6% in 11 healthy controls, 10.8 +/- 10.2% (P less than 0.001) in 21 ulcerative colitis patients, 8.0 +/- 4.7% (P less than 0.001) in 35 Crohn's disease patients, 5.1 +/- 2.9% (P less than 0.01) in 17 patients with heterogeneous digestive disease diagnoses, and 3.2 +/- 4.7% (P greater than 0.05) in 33 patients with hepatobiliary diagnoses. Among ambulatory patients, Crohn's disease subjects, but not ulcerative colitis patients, had greater urinary recovery than the controls (P less than 0.05). The Crohn's disease activity index correlated positively with the radionuclide recovery in Crohn's subjects (r = 0.455, P less than 0.02). In a heterogeneous sample of subjects simultaneous ingestion of [99mTc]DTPA and [51Cr]EDTA produced urinary levels that were correlated positively (r = 0.556, P less than 0.001). Increased absorption of [99mTc]DTPA relative to [51Cr]EDTA, however, was noted in ulcerative colitis patients (P less than 0.05). In conclusion, increased intestinal permeability has been demonstrated by utilizing [99mTc]DTPA in Crohn's disease and ulcerative colitis patients. Although this observation appears to be a nonspecific indicator of injury, the test provides a simple objective means of establishing disease activity, which possibly may be utilized for therapeutic and investigative studies.
تدمد: 1573-2568
0163-2116
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::80bc9840b2ec7436139f9248c3dfa0dd
https://doi.org/10.1007/bf01536764
حقوق: CLOSED
رقم الأكسشن: edsair.doi.dedup.....80bc9840b2ec7436139f9248c3dfa0dd
قاعدة البيانات: OpenAIRE