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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1989-6-28
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pubmed:abstractText |
Concentrations of total and unconjugated bile acids in serum were measured fasting and 2 h postprandially in 9 patients with a positive [14C]glycocholate breath test consistent with small bowel bacterial overgrowth and in 13 controls. Gas-liquid chromatography-mass spectrometry (GLC-MS) and enzymatic-fluorometric assays were both used. In contrast to previous work, total serum bile acids were only occasionally elevated in patients with bacterial overgrowth. Total 2 h postprandial unconjugated bile acids, however, were elevated in 7/9 patients when measured by GLC-MS and in 6/9 when measured by the enzymatic-fluorometric method. The best separation between patients and controls was achieved by GLC-MS determinations of 2 h postprandial unconjugated cholic acid or primary bile acids, which were abnormal in 8/9 patients. This study indicates that measurement of serum bile acids may be a useful approach to the diagnosis of bacterial overgrowth, but would require accessible methods for separating and measuring cholic acid or unconjugated primary bile acids in post-prandial sera.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Apr
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pubmed:issn |
0009-8981
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
28
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pubmed:volume |
181
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
87-101
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:2721008-Aged,
pubmed-meshheading:2721008-Bile Acids and Salts,
pubmed-meshheading:2721008-Fasting,
pubmed-meshheading:2721008-Female,
pubmed-meshheading:2721008-Gas Chromatography-Mass Spectrometry,
pubmed-meshheading:2721008-Humans,
pubmed-meshheading:2721008-Intestine, Small,
pubmed-meshheading:2721008-Male,
pubmed-meshheading:2721008-Middle Aged
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pubmed:year |
1989
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pubmed:articleTitle |
Serum unconjugated bile acids in patients with small bowel bacterial overgrowth.
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pubmed:affiliation |
Department of Medicine, University of Chicago, IL.
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pubmed:publicationType |
Journal Article
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