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特发性脂肪泻中氚标记叶酸的肠道吸收:无麸质饮食的影响

INTESTINAL ABSORPTION OF TRITUM-LABELLED FOLIC ACID IN IDIOPATHIC STEATORRHEA: EFFECT OF A GLUTENFREE DIET.

作者信息

KINNEAR D G, MACINTOSH P C, CAMERON D G, JOHNS D G, BURGEN A S

出版信息

Can Med Assoc J. 1963 Nov 9;89(19):975-9.

PMID:14077269
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1921902/
Abstract

The intestinal absorption of folic acid in patients with idiopathic steatorrhea was studied by the oral administration of tritium-labelled folic acid in a dosage of 15 mug./kg. Results were expressed as a percentage of the orally administered folic acid radioactivity excreted in the urine over 24 hours. The mean excretion of radioactivity in 38 normal subjects was 48.2 +/- 16.6% (mean +/- SD), whereas eight patients with untreated idiopathic steatorrhea excreted only 16.7 +/- 3.4% (mean +/- SE).The ability of the gluten-free diet to correct this absorptive defect was demonstrated by the finding of normal values in 11 patients in complete clinical remission for periods exceeding six months after institution of the diet. Serial studies in individual patients indicated that a significant improvement was obtainable in as short a period as two weeks following exclusion of gluten from the diet.

摘要

通过口服剂量为15微克/千克的氚标记叶酸,对特发性脂肪泻患者的叶酸肠道吸收情况进行了研究。结果以24小时尿液中排出的口服叶酸放射性占比来表示。38名正常受试者的放射性平均排泄率为48.2±16.6%(平均值±标准差),而8名未经治疗的特发性脂肪泻患者仅排泄了16.7±3.4%(平均值±标准误)。对于11名在采用无麸质饮食超过6个月后完全临床缓解的患者,其吸收值正常,这证明了无麸质饮食纠正这种吸收缺陷的能力。对个体患者的系列研究表明,在饮食中排除麸质后短短两周内即可取得显著改善。

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1
INTESTINAL ABSORPTION OF TRITUM-LABELLED FOLIC ACID IN IDIOPATHIC STEATORRHEA: EFFECT OF A GLUTENFREE DIET.特发性脂肪泻中氚标记叶酸的肠道吸收:无麸质饮食的影响
Can Med Assoc J. 1963 Nov 9;89(19):975-9.
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Am J Dig Dis. 1963 Dec;8:969-83. doi: 10.1007/BF02239489.
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引用本文的文献

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Malabsorption of dietary folate (Pteroylpolyglutamates) in adult coeliac disease and dermatitis herpetiformis.成人乳糜泻和疱疹样皮炎中膳食叶酸(蝶酰多聚谷氨酸)的吸收不良。
Br Med J. 1970 Oct 10;4(5727):85-9. doi: 10.1136/bmj.4.5727.85.
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Folate deficiency secondary to disease of the intestinal tract.继发于肠道疾病的叶酸缺乏。
Bull N Y Acad Med. 1966 Aug;42(8):638-53.
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The urinary excretion of orally administered pteroyl-L-glutamic acid by the rat.大鼠口服蝶酰-L-谷氨酸后的尿排泄情况。
Biochem J. 1971 Aug;123(5):907-14. doi: 10.1042/bj1230907.
4
Studies on folic acid absorption in the rat. I.大鼠叶酸吸收的研究。I.
Am J Dig Dis. 1972 Jul;17(7):591-8. doi: 10.1007/BF02231744.
5
The reproducibility and use of the tritiated folic acid urinary excretion test as a measure of folate absorption in clinical practice: effect of methotrexate on absorption of folic acid.氚标记叶酸尿排泄试验在临床实践中作为叶酸吸收量度的可重复性及应用:甲氨蝶呤对叶酸吸收的影响
J Clin Pathol. 1973 Apr;26(4):261-7. doi: 10.1136/jcp.26.4.261.

本文引用的文献

1
The urinary excretion of orally administered tritium-labeled folic acid as a test of folic acid absorption.口服氚标记叶酸的尿排泄作为叶酸吸收的一项检测。
Blood. 1963 May;21:626-39.
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Clinical experience with the gluten-free diet in idiopathic steatorrhea.
Gastroenterology. 1960 Apr;38:592-5.
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The metabolism of tritiated folic acid in man.人体内氚标记叶酸的代谢
J Clin Invest. 1961 Sep;40(9):1684-95. doi: 10.1172/JCI104391.
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Folic acid, its analogs and antagonists.
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The urinary and faecal excretion of radioactivity after oral doses of H3-folic acid.口服H3-叶酸后放射性物质的尿排泄和粪排泄。
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The absorption of folic acid.叶酸的吸收
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Steatorrhoea.脂肪泻
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