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The clinical use of orally administered47Ca for the investigation of intestinal calcium absorption

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Abstract

Intestinal calcium absorption was measured by the oral administration of calcium47 (in milk as a carrier) to 15 normals and 30 patients and by following the blood concentration at two hours, the twenty four hour urine excretion and cumulative faecal excretion of the isotope. Simultaneous calcium balances allowed an estimate of calcium absorption to be made and this correlated with the blood and faecal data once an allowance was made for the endogenous secretion. This was found to be highly variable, mean values in the patients being 300 mg/24 hours. A slow type of intestinal absorption was found in the osteoporotic group of patients.

Résumé

L'absorption intestinaledu calcium a été mesurée par voix buccale en donnant du calcium47 (dans du lait) à 15 personnes saines et 30 malades et en suivant la concentration du sang après deux heures, excrétion des urines de vingt quatre heures et l'excrétion accumulée des selles, de l'isotope.

Des doses simultanées du calcium nous a permis d'evaluer l'absorption du calcium et cela est correlatif avec la data du sang et des selles, faite après une deduction de la secretion de l'endogine.

On a trouvé que cela ete trop varie, les termes moyens était chez les malades 300 mg/24 heures. On a trouve une absorption intestinale leute, chez les malades du groupe osteoporotique.

Zusammenfassung

Kalziumaufnahme im Darm wurde gemessen durch Einnehmen von Kalzium47 (in Milch als Träger) von 15 “Normalen” und 30 Patienten, und durch verfolgen von Blutkonzentration nach 2 Std, eine 24 Std Urinausscheidung, das Ansammeln von Isotop in Stuhlexkrementen.

Gleichzeitig erlaubte Kalziumausgleich einen Überschlag in Kalziumaufnahme zu machen und dies stand im Zusammenhang mit Blut- und Stuhlergebnissen nach dem Drüsensekret (endogenous) zuvor in Betracht gezogen wurde.

Dies Ergebnis war sehr veränderlich. Durchschnittswerte von Patienten waren: 300 mg/24 Std.

Es wurde festgestellt, daß die Darmaufnahme eine langsame war in Patienten mit osteoporotischer Krankheit.

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References

  • Aubert, J. P., F. Bronner, andL. J. Richelle: Quantitation of calcium metabolism. J. clin. Invest.42, 885–897 (1963).

    PubMed  Google Scholar 

  • Avioli, L. V., J. E. McDonald, R. A. Singer, andP. H. Henneman: A new oral isotopic test of calcium absorption. J. clin. Invest.44, 128–139 (1965a).

    PubMed  Google Scholar 

  • ——, andS. W. Lee: The influence of age on the intestinal absorption of47Ca in women in its relation to47Ca absorption in post-menopausal osteoporosis. J. clin. Invest.44, 1960–1967 (1965b).

    PubMed  Google Scholar 

  • Baker, R. W. R.: The determination of calcium in serum by flame photometry. Biochem. J.59, 566–571 (1955).

    PubMed  Google Scholar 

  • Bhandarkar, S. D., M. Bluhm, J. MacGregor, andB. E. C. Nordin: An isotope test of calcium absorption. Brit. med. J.1961II, 1639–1641.

  • Blau, M., H. Spencer, J. Swernov, andD. Laszlo: Utilization and intestinal excretion of calcium in man. Science120, 1029–1031 (1954).

    PubMed  Google Scholar 

  • Bronner, F., andR. S. Harris: Absorption and metabolism in human beings studied with Calcium-45. Ann. N.Y. Acad. Sci.64, 314 (1956).

    Google Scholar 

  • ——,C. J. Maletskos, andC. E. Benda: Studies in calcium metabolism. The fata of intravenously injected radiocalcium in human beings. J. clin. Invest.35, 78–88 (1956).

    PubMed  Google Scholar 

  • —,P. D. Saville, J. A. Nicholas, J. R. Cobb, P. D. Wilson, Jr., andP. D. Wilson: Radioisotropes and bone, p. 17–33. Editor:F. C. McLean. Oxford: Blackwell Sci. Publ. 1962.

    Google Scholar 

  • Cameron, J. S., W. J. H. Butterfield, N. Veall, J. R. Rees, andV. Parsons: Studies on intestinal calcium absorption in man using Ca47. Medical uses of Ca47. Internat. Atomic Energy Agency, Technical Reports Series No 10, 29–39 (1962).

    Google Scholar 

  • Caniggia, A., C. Gennari, V. Bianchi, andR. Guideri: Intestinal absorption of45Ca in senile osteoporosis. Acta med. scand.173, 613–617 (1963).

    PubMed  Google Scholar 

  • Caniggia, A., C. Gennari, andL. Cesar: Intestinal absorption of45Ca in stone-forming patients. Brit. med. J.1965I, 427–429.

  • Degrazia, J. A., P. Ivanovich, H. Fellows, andC. Rich: A double isotope method for measurement of intestinal absorption of calcium in man. J. Lab. clin. Med.66, 822–829 (1965).

    PubMed  Google Scholar 

  • —, andC. Rich: Studies of intestinal absorption of calcium in man. Metabolism13, 650–660 (1964).

    Article  PubMed  Google Scholar 

  • Deller, D. J., B. W. Worthley, andH. Martin: Measurement of47Ca absorption by whole body gamma spectrometry. Aust. Ann. Med.14, 223 (1965).

    PubMed  Google Scholar 

  • Fink, S., andD. Laszlo: A metabolic study following oral calcium-45 administration in a patient with non-tropical sprue. Gastroenterology32, 689–703 (1957).

    PubMed  Google Scholar 

  • Harris, F., R. Hoffenberg, andE. G. Black: The radioisotope osteogram in rickets. Clin. Sci.28, 75–82 (1965).

    PubMed  Google Scholar 

  • Harrison, N. E., andH. C. Harrison: Intestinal transport of phosphate: action of Vitamin D, calcium, and potassium. Amer. J. Physiol.201, 1007–1012 (1961).

    PubMed  Google Scholar 

  • Heany, R. P., andT. G. Skillman: Secretion and excretion of calcium by the human gastrointestinal tract. J. Lab. clin. Med.64, 29–38 (1964).

    PubMed  Google Scholar 

  • Jaworski, Z. F., E. M. Brown, S. Fedoruk, andH. Seitz: A method for the study of calcium absorption by the human gut using a standard dose of calcium labelled with Calcium47. New Engl. J. Med.269, 1103–1111 (1963).

    PubMed  Google Scholar 

  • Kinney, V. R., W. N. Tauxe, andW. H. Dearing: Isotopic tracer studies of intestinal calcium absorption. J. Lab. clin. Med.66, 187 (1965).

    PubMed  Google Scholar 

  • Milhaud, G., andP. Vesen: Calcium metabolism in man with45Ca: malabsorption syndrome and exudative enteropathy. Nature (Lond.)191, 872–874 (1961).

    Google Scholar 

  • Nordin, B. E. C., H. Glass, D. Smith, J. MacGregor, J. Nisbet, andH. G. Burns: Bone formation and resorption rates in various clinical states. In: Medical uses of47Ca. Internat. Atomic Energy Agency, Technical Reports Series, No. 32, 75–86 (1964).

  • —, andD. A. Smith: Diagnostic procedures in disorders of calcium metabolism. London: J. A. Churchill, Ltd. 1965.

    Google Scholar 

  • Robinson, C. J., D. H. Gutteridge, G. F. Joplin, E. H. Belcher, andR. Fraser: Calcium absorption tests using oral47Ca. In: Medical uses of47Ca. Internat. Atomic Energy Agency, Technical Reports Series No 32, 119–124 (1964).

  • Rose, G. A., G. W. Reed, andA. H. Smith: Isotopic method for measurement of calcium absorption from the gastrointestinal tract. Brit. med. J.1965I, 690–692.

  • Samachson, J., J. Scheck, andH. Spencer: Radiocalcium absorption at different times of day. Amer. J. clin. Nutr.18, 449–451 (1966).

    PubMed  Google Scholar 

  • Tothill, P., andA. W. Dellipiani: The measurement of calcium absorption by a double isotope method. In: Radioaktive Isotope in Klinik und Forschung, Bd. 6. Editors:K. Fellinger undR. Hofer. Munich: Urban & Schwarzenberg 1965.

    Google Scholar 

  • Veall, N.: Chemical determination of calcium in urine, results of interlaboratory comparisons. In: Medical Uses of Ca47. Internat. Atomic Energy Agency, Technical Reports Series, No 10, 113–117 (1962).

  • —, andJ. D. Pearson: Ca47 measurements in urine and faeces and chemical estimation of calcium in urine. Medical uses of Ca47. Internat. Atomic Energy Agency, Technical Reports Series No 10, 20–24 (1962).

    Google Scholar 

  • —, andH. Vetter: An apparatus for the rapid estimation of tracer quantities of radioactive isotopes in extrata. Brit. J. Radiol.25, 85–88 (1952).

    PubMed  Google Scholar 

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Parsons, V., Veall, N. & Butterfield, W.J.H. The clinical use of orally administered47Ca for the investigation of intestinal calcium absorption. Calc. Tis Res. 2, 83–92 (1968). https://doi.org/10.1007/BF02279197

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