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Interval sampling of breath hydrogen (H2) as an index of lactose malabsorption in lactase-deficient subjects

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Abstract

Interval sampling of breath hydrogen content was used in lactose malabsorbers: (1) to compare hydrogen responses following increasing oral doses of lactose in milk and aqueous solutions; (2) to determine the reproducibility of interval breath sampling, and (3) to compare carbohydrate malabsorption following ingestion of either regular milk or milk containingLactobacillus acidophilus. Significant differences in breath hydrogen responses due to increasing amounts of lactose in milk and aqueous solutions were observed. The individual breath hydrogen responses were reproducible using the same lactose dose on different days. There was no significant difference in breath hydrogen responses or symptoms following administration of either regular milk or milk containingLactobacillus acidophilus. Breath hydrogen sampling at intervals, as performed in these studies, provides a sensitive and reproducible index of lactose malabsorption.

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References

  1. Levitt MD: Production and excretion of hydrogen in man. N Engl J Med 281:122–127, 1969

    Google Scholar 

  2. Bond JH, Levitt MD: Quantitative measurement of lactose absorption. Gastroenterology 70:1058–1062, 1976

    Google Scholar 

  3. Levitt MD, Donaldson RM: Use of respiratory hydrogen (H2) excretion to detect carbohydrate malabsorption. J Lab Clin Med 75:937–945, 1970

    Google Scholar 

  4. Bond JH, Levitt MD: Use of pulmonary hydrogen (H2) measurement to quantitate carbohydrate absorption. J Clin Invest 51:1219–1225, 1972

    Google Scholar 

  5. Editorial. Lactose intolerance. Nutr MD 6:3–4, 1980

  6. Welsh JD: On the lactose tolerance test. Gastroenterology 51:445, 1966

    Google Scholar 

  7. Payne-Bose D, Tsegaye A, Morrison RD, Waller GR: An improved method for determining breath H2 as an indicator of carbohydrate malabsorption. Anal Biochem 88:659–667, 1978

    Google Scholar 

  8. Daniels F: Mathematical Preparation for Physical Chemistry. New York, McGraw-Hill, 1956

    Google Scholar 

  9. Bond JH, Levitt MD: Investigation of small bowel transit time in man utilizing pulmonary (H2) measurements. J Lab Clin Med 85:546–555, 1975

    Google Scholar 

  10. Bond JH, Levitt MD: Use of breath hydrogen (H2) to quantitate small bowel transit time following partial gastrectomy. J Lab Clin Med 90:30–35, 1977

    Google Scholar 

  11. Nichols MA: Effect of a nonfermented milk inoculated withLactobacillus acidophilus on lactose malabsorption. MS thesis, Oklahoma State University, 1978

  12. Winer BJ: Statistical Principles in Experimental Design, 2nd. ed. New York, McGraw-Hill, 1971

    Google Scholar 

  13. Solomons NW, Viteri FE, Hamilton LH: Application of a simple gas chromatographic technique for measuring breath hydrogen. J Lab Clin Med 90:856–862, 1977

    Google Scholar 

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Supported by the Oklahoma Agricultural Experiment Station, Stillwater, Oklahoma, and the Veterans Administration.

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Welsh, J.D., Payne, D.L., Manion, C. et al. Interval sampling of breath hydrogen (H2) as an index of lactose malabsorption in lactase-deficient subjects. Digest Dis Sci 26, 681–685 (1981). https://doi.org/10.1007/BF01316855

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  • DOI: https://doi.org/10.1007/BF01316855

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