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Routine disaccharidase testing: are we there yet?

Antone R Opekun1,2,3, Bruno P Chumpitazi2,3, Mustafa M Abdulsada1

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Disaccharidase testing aids in diagnosing gastrointestinal issues like functional bowel disorders. While not routine, it can guide management for carbohydrate maldigestion and related symptoms.

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Area of Science:

  • Gastroenterology
  • Digestive Health
  • Clinical Diagnostics

Background:

  • Disaccharidase testing is underutilized in diagnosing gastrointestinal disturbances.
  • Carbohydrate maldigestion can impact functional bowel disorders and the gut microbiome.

Purpose of the Study:

  • To evaluate the clinical utility of disaccharidase testing.
  • To explore how disaccharidase test results can influence patient management.

Main Methods:

  • Review of diagnostic techniques including enzyme assays, immunohistochemistry, breath testing, and genetic testing.
  • Analysis of sucrase-isomaltase gene variants and deficiency prevalence.

Main Results:

  • Disaccharidase deficiencies are more common than previously recognized.
  • Testing plays a role in evaluating unexplained abdominal discomfort and symptoms.

Conclusions:

  • Disaccharidase testing is valuable for symptom evaluation but faces accuracy and logistical challenges.
  • Improved testing methods are needed to guide patient management, dietary changes, and enzyme supplementation.