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[Functional tests in small bowel diseases (author's transl)].

H Menge, E O Riecken

    Zeitschrift Fur Gastroenterologie
    |March 1, 1978
    PubMed
    Summary

    Functional tests like D-xylose, Schilling-test, and fecal fat analysis remain crucial for diagnosing small bowel diseases. Segmental intestinal perfusion and tissue accumulation techniques offer precise measurements of absorptive and secretory capacities in specific gut segments.

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    Area of Science:

    • Gastroenterology
    • Digestive Physiology
    • Enterology

    Context:

    • Despite advancements in enterology, established functional tests remain vital for small bowel disease diagnosis.
    • D-xylose, Schilling-test, and fecal fat analysis are key diagnostic tools.
    • Assessing small bowel function is critical for patient management.

    Purpose:

    • To highlight the enduring importance of traditional functional tests in small bowel disease.
    • To present segmental intestinal perfusion as a leading method for evaluating absorptive and secretory capacities.
    • To acknowledge the utility of tissue accumulation techniques for specialized absorptive capacity assessment.

    Summary:

    • Traditional functional tests, including D-xylose, Schilling-test, and fecal fat analysis, continue to be the most significant for diagnosing small bowel diseases.
    • Segmental intestinal perfusion technique is currently the most suitable method for quantifying absorptive or secretory capacity in specific intestinal segments.
    • Tissue accumulation techniques using small bowel biopsy specimens can yield valuable absorptive capacity data in specialized laboratory settings.

    Impact:

    • Reinforces the clinical relevance of established diagnostic methods in gastroenterology.
    • Provides guidance on selecting appropriate functional tests for small bowel evaluation.
    • Supports the continued use of these tests in clinical practice and research for improved patient outcomes.

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