scholarly journals Concomitant Prevalence of Low Serum Diamine Oxidase Activity and Carbohydrate Malabsorption

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Dietmar Enko ◽  
Andreas Meinitzer ◽  
Harald Mangge ◽  
Gernot Kriegshäuser ◽  
Gabriele Halwachs-Baumann ◽  
...  

The aim of this retrospective study was to analyze the concomitant prevalence rates for lactose malabsorption (LM), fructose malabsorption (FM), and histamine intolerance (HI) in patients with so far unexplained gastrointestinal (GI) symptoms. A total of 439 outpatients, who presented unclear abdominal discomfort, underwent lactose (50 g) and fructose (25 g) hydrogen (H2) breath tests. Additionally, serum diamine oxidase (DAO) measurements were performed. Individuals with low serum DAO activity (<10 U/mL), GI symptoms, and response to histamine-free diet were diagnosed with HI. Of all 439 patients, 341 (77.7%) were found with 7 various GI conditions. In total, 94 (21.4%), 31 (7.1%), and 100 (22.8%) individuals presented LM, FM, or HI only, whereas 116 (26.4%) patients showed an overlap of GI entities investigated here. Interestingly, 89 out of 241 (36.9%) individuals with carbohydrate malabsorption were also diagnosed with HI (LM + HI: 52 [11.8%], FM + HI: 23 [5.2%], and LM + FM + HI 14 [3.2%] individuals). In conclusion different combinations of LM, FM, and HI are present in individuals with unclear abdominal discomfort/pain. In clinical practice we suggest testing for LM, FM, and additional HI in the diagnostic work-up of these patients. Depending on these various diagnoses possible, patients should get an individualized dietary advice.

2017 ◽  
Vol 50 (1-2) ◽  
pp. 50-53 ◽  
Author(s):  
Dietmar Enko ◽  
Gernot Kriegshäuser ◽  
Gabriele Halwachs-Baumann ◽  
Harald Mangge ◽  
Wolfgang J. Schnedl

Nutrients ◽  
2019 ◽  
Vol 11 (12) ◽  
pp. 3063 ◽  
Author(s):  
Carsten Posovszky ◽  
Vreni Roesler ◽  
Sebastian Becker ◽  
Enno Iven ◽  
Christian Hudert ◽  
...  

Intolerance to lactose or fructose is frequently diagnosed in children with chronic abdominal pain (CAP). However, the causal relationship remains a matter of discussion. A cohort of 253 patients, aged 7–12 years, presenting with unexplained CAP received standardized diagnostics. Additional diagnostic tests were performed based on their medical history and physical and laboratory investigations. Fructose and lactose hydrogen breath tests (H2BT) as well as empiric diagnostic elimination diets were performed in 135 patients reporting abdominal pain related to the consumption of lactose or fructose to evaluate carbohydrate intolerance as a potential cause of CAP. Carbohydrate malabsorption by H2BT was found in 55 (41%) out of 135 patients. An abnormal increase in H2BT was revealed in 30% (35/118) of patients after fructose consumption and in 18% (20/114) of patients after lactose administration. Forty-six percent (25/54) reported pain relief during a diagnostic elimination diet. In total, 17 patients had lactose malabsorption, 29 fructose malabsorption, and nine combined carbohydrate malabsorption. Carbohydrate intolerance as a cause of CAP was diagnosed at follow-up in only 18% (10/55) of patients with malabsorption after the elimination of the respective carbohydrate. Thus, carbohydrate malabsorption appears to be an incidental finding in children with functional abdominal pain disorders, rather than its cause. Therefore, testing of carbohydrate intolerance should only be considered in children with a strong clinical suspicion and with the goal to prevent long-term unnecessary dietary restrictions in children suffering from CAP.


2011 ◽  
Vol 6 (1) ◽  
pp. 176-177
Author(s):  
Y. Hamada ◽  
Y. Shinohara ◽  
M. Yano ◽  
M. Yamamoto ◽  
M. Yoshio ◽  
...  

1999 ◽  
Vol 5 (2) ◽  
pp. 85-91 ◽  
Author(s):  
Robert J. Hilsden ◽  
Jon B. Meddings ◽  
James Hardin ◽  
Grant D. Gall ◽  
Lloyd R. Sutherland

1975 ◽  
Vol 293 (25) ◽  
pp. 1286-1290 ◽  
Author(s):  
Stephen B. Baylin ◽  
Martin D. Abeloff ◽  
Kathleen C. Wieman ◽  
J. Walton Tomford ◽  
David S. Ettinger

2020 ◽  
Vol 82 (10) ◽  
pp. 1488-1491
Author(s):  
Tatsuya FUKUDA ◽  
Kenji TSUKANO ◽  
Marina OTSUKA ◽  
Yoshiki MURAKAMI ◽  
Yasuyuki KITADE ◽  
...  

FEBS Letters ◽  
1992 ◽  
Vol 307 (2) ◽  
pp. 135-138 ◽  
Author(s):  
David M. Hougaard ◽  
Gunnar Houen ◽  
Lars-Inge Larsson

1990 ◽  
Vol 51 (1) ◽  
pp. 75-78 ◽  
Author(s):  
A. Sessa ◽  
M.A. Desiderio ◽  
A. Perin

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