The American Journal of Digestive Diseases

, Volume 5, Issue 9, pp 782–791 | Cite as

Incidence of asymptomatic steatorrhea in adults

A preliminary report
  • Julius G. Parker
  • George Ross


1. A survey of 230 essentially well patients by use of the serum carotene level as a screening index, disclosed five asymptomatic patients in whom gross steatorrhea was present—an incidence of 2.3 per cent.

2. Other tests for determining abnormality of small-bowel function, such as radioactive triolein,D-xylose urinary excretion and, barium meal studies correlated rather poorly with the chemical determination of stool fat.

3. Serum carotene level is considered to be a simple and efficient method of screening for steatorrhea.

4. It is suggested that asymptomatic steatorrhea is a more frequent occurrence than has been suspected.


Public Health Barium Urinary Excretion Efficient Method Asymptomatic Patient 
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  1. 1.
    Davidson, L. S. P., andFountain, J. R. Incidence of sprue syndrome with some observations on the natural history.Brit. M. J. 1:1157, 1950.Google Scholar
  2. 2.
    Thompson, M. W. Heredity, maternal age and birth order in the etiology of celiac disease.Am. J. Human Genet. 3:159, 1951.Google Scholar
  3. 3.
    Anderson, D. H. The relationship of celiac disease, starch intolerance and steatorrhea.J. Pediat. 30:564, 1947.Google Scholar
  4. 4.
    Gardner, A. E. J. A genetic and clinical study of intestinal polyposis, a predisposing factor for carcinoma of the colon and rectum.Am. J. Human Genet. 3:167, 1957.Google Scholar
  5. 5.
    Goodman, H. O., andReed, S. C. Hereditary fibrosis of the pancreas.Am. J. Human Genet. 4:59, 1952.Google Scholar
  6. 6.
    Christiansen, P. A., Kirsner, J. B., andAlblaza, J. D-Xylose and its use in the diagnosis of malabsorptive states.Am. J. Med. 27:443, 1959.CrossRefPubMedGoogle Scholar
  7. 7.
    Wenger, J., Kirsner, J. B., andPalmer, W. L. Blood carotene in steatorrhea and the malabsorptive syndrome.Am. J. Med. 22:373, 1957.CrossRefPubMedGoogle Scholar
  8. 8.
    Wollaeger, E. E., Comfort, M. W., andOsterberg, A. E. Total solids, fat and nitrogen in the feces. III. A study of normal persons taking a test diet containing a moderate amount of fat; Comparison with results obtained with normal persons taking a test diet containing a large amount of fat.Gastroenterology 9:272, 1947.Google Scholar
  9. 9.
    Wollaeger, E. E., Comfort, M. W., Weir, J. F., andOsterberg, A. E. The total solids, fat and nitrogen in the feces. I. A study of normal persons and of patients with duodenal ulcer on a test diet containing large amount of fat.Gastroenterology 6:83, 1946.Google Scholar
  10. 10.
    Anderson, D. H. Celiac syndrome. I. The determination of fat in feces; Reliability of two chemical methods and of microscopic estimate; Excretion of feces and of fecal fat in normal children.Am. J. Dis. Children 69:141, 1945.Google Scholar
  11. 11.
    Cooke, W. T., Peeney, A. L. P., andHawkins, C. F. Diagnostic features of idiopathic steatorrhea.Quart. J. Med. 22:59, 1953.PubMedGoogle Scholar
  12. 12.
    Cooke, W. T., Elkes, J. J., Frazer, A. C., Parkes, J., Penney, A. L. P., Sammons, H. G., andThomas, G. Anomalies of intestinal absorption of fat. I. The determination and significance of fecal fat.Quart. J. Med. 15:141, 1946.Google Scholar
  13. 13.
    Adlersberg, D. The Malabsorption Syndrome. Grune, New York, 1957.Google Scholar
  14. 14.
    Gardner, F. H., andSantiago, E. P. Oral absorption tolerance test in tropical sprue.Arch. Int. Med. 98:467, 1956.Google Scholar
  15. 15.
    Parker, J. G., andRoss, G. Serum carotene levels in adults in New York City: Survey of 230 essentially healthy adults. Unpublished.Google Scholar
  16. 16.
    Ruffin, J. M., Shingleton, W. A., Baylin, G. J., Hymans, J. C., Isley, J. K., Sanden, A. P., andSohmer, M. J. J. I131-labelled fat in the study of intestinal absorption.New England J. Med. 255:594, 1956.Google Scholar
  17. 17.
    Zumoff, B., Bilette, L., Marisio, J. J., andHellman, L. A simple urinary test for estimation of intestinal fat absorption.Clin. Research 6:33, 1958.Google Scholar
  18. 18.
    Fowwfather, F. S. The determination of the amount and the composition of the fat of feces. I. Investigation of a “wet” method and comparison with the “dry” method.Brit. J. Exper. Path. 7:7, 1926.Google Scholar
  19. 19.
    Fowweather, F. S. The composition of the fat of the feces of the normal adult as ascertained by the “wet” method, together with some results in certain pathological conditions.Brit. J. Exper. Path. 7:15, 1926.Google Scholar
  20. 20.
    Kimblf, M. S. The photocolorimetric determination of vitamin A and carotene in human plasma.J. Lab. & Clin. Med. 24:1055, 1938–39.Google Scholar
  21. 21.
    Yudkin, S. Estimation of vitamin A and carotene in human blood.Biochem. J. 35:551, 1944.Google Scholar
  22. 22.
    Roe, J. H., andRice, E. W. A photometric method for the determination of free pentose in animal tissues.J. Biol. Chem. 173:507, 1948.Google Scholar

Copyright information

© Paul B. Hoeber, Inc. 1960

Authors and Affiliations

  • Julius G. Parker
    • 1
  • George Ross
    • 1
  1. 1.From the Department of GastroenterologyDivision of Medicine and Laboratory Division, Montefiore HospitalNew York

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