Adlung J, Grazikowske H
Scand J Gastroenterol. 1979;14(5):587-92. doi: 10.3109/00365527909181394.
In 44 normal subjects, in 89 patients with chronic pancreatitis, of whom 23 had elevated faecal fat, and in 19 patients with various diseases of the small gut investigations with 14C-tripalmitate and 3H-palmitic acid, dissolved in 1.0 g Indian corn oil/kg, were performed. Serum lipid activity of 14C and 3H was measured 4, 6, and 8 h later. Compared with absolute values of triglyceride absorption (percentage dose of 14C-lipid activity/l serum), relative values (14C/3H ratio of the serum lipids) led to a significantly better discrimination between the control group and patients, attributable to a much smaller normal range. Compared with fatty acid absorption, triglyceride absorption was lowered in all cases of pancreatic steatorrhoea, in most cases of chronic pancreatitis, and in some cases of intestinal malabsorption. While the proposed procedure seems to be sensitive and reliable in the detection of maldigestion, a distinction between maldigestion and malabsorption is apparently uncertain.
对44名正常受试者、89名慢性胰腺炎患者（其中23名粪便脂肪升高）以及19名患有各种小肠疾病的患者，使用溶解于1.0 g/kg玉米油中的14C-三棕榈酸酯和3H-棕榈酸进行了研究。4、6和8小时后测量血清中14C和3H的脂质活性。与甘油三酯吸收的绝对值（14C-脂质活性/升血清的剂量百分比）相比，相对值（血清脂质的14C/3H比值）在区分对照组和患者方面表现明显更好，这归因于正常范围小得多。与脂肪酸吸收相比，在所有胰腺性脂肪泻病例、大多数慢性胰腺炎病例以及一些肠道吸收不良病例中，甘油三酯吸收均降低。虽然所提出的方法在检测消化功能不良方面似乎敏感且可靠，但消化功能不良和吸收不良之间的区分显然并不确定。
