Abstract
Using an intestinal perfusion technique, folic acid (PGA) and hexose absorption were studied in 9 patients with sprue. Folate malabsorption was only demonstrable during perfusion with glucose or galactose and saline, not with saline alone. Hexose absorption was diminished. The stimulation by sugar of PGA, water, and sodium transport, as seen in controls, was absent. 2 patients with untreated tropical sprue had less severe malabsorption than those with celiac spure. Treatment of tropical spure for two months in one patient resulted in partial improvement, while treatment for six months in the other restored normal absorptive function.
Similar content being viewed by others
References
Anderson B, Belcher EH, Chanarin I, Mollin DL. The urinary and fecal excretion of radioactivity after oral doses of H3-folic acid. Br J Haemat 6:439–455, 1960
Klipstein FA. The urinary excretion of orally administered tritium-labeled folic acid as a test of folic acid absorption. Blood 21:626–639, 1963
Jeejeebhoy KN, Desai HG, Noronha JM, Antia FB, Parekh VD. Idiopathic tropical diarrhea with or without steatorrhea (tropical malabsorption syndrome). Gastroenterology 51:333–344, 1966
Klipstein FA, Falaiye JM. Tropical sprue in expatriates from the tropics living in the continental United States. Medicine 48:475–491, 1969
Klipstein FA, Samloff IM, Smarth G, Schenk E. Malabsorption and malnutrition in rural Haiti. Am J Clin Nutr 21:1042–1052, 1968
Ghitis J, Tripathy K, Mayoral G. Malabsorption in the tropics. 2. Tropical sprue vs. primary protein malnutrition: vitamin B12 and folic acid studies. Am J Clin Nutr 20:1206–1211, 1967
Hepner GW, Booth CC, Cowan J, Hoffbrand AV, Mollin DL. Absorption of crystalline folic acid in man. Lancet 2:302–306, 1968
Fordtran JS, Rector FC, Locklear TW, Ewton MF. Water and solute movement in the small intestine of patients with sprue. J Clin Invest 46:287–298, 1967
Schmid WC, Phillips SF, Summerskill WHJ, Jejunal secretion of electrolytes and water in nontropical sprue. J Lab Clin Med 73:772–783, 1969
Holdsworth CD, Dawson AM. Glucose and fructose absorption in idiopathic steatorrhea. Gut 6:387–391, 1965
Gerson CD, Cohen N, Hepner GW, Brown N, Herbert V, Janowitz HD. Folic acid absorption in man: enhancing effects of glucose. Gastroenterology 61:224–227, 1971
Herbert V. Aseptic addition method for lactobacillus casei assay of folate activity in human serum. J Clin Path 19:12–16, 1966
Malawer SJ, Powell DW. An improved turbidimetric analysis of polyethylene glycol utilizing an emulsifier. Gastroenterology 53:250–256, 1967
Hyden S Turbidometric method for the determination of higher polyethylene glycols in biological materials. Ann Roy Agric Coll Sweden 22:139–145, 1955
Guerra RM, Wheby MS, Bayless TM. Longterm antibiotic therapy in tropical sprue. Ann Intern Med 63:619–634, 1965
Gerson CD, Hepner GW, Brown N, Cohen N, Herbert V, Janowitz HD. Inhibition by diphenylhydantoin of folic acid absorption in man. Gastroenterology 63:246–251, 1972
Klipstein FA. Absorption of physiologic doses of folic acid in subjects with tropical sprue responding to tetracycline therapy. Blood 34:191–203, 1969
Hoffbrand AV, Necheles TF, Maladonado N, Horta E, Santini R. Malabsorption of folate polyglutamates in tropical sprue. Br Med J 2:543–547, 1969
Baker SJ, Mathan VI. Tropical sprue in southern India. Tropical Sprue and Megaloblastic Anemia. Edinburgh and London, Churchill Livingstone, 1971, pp 189–260
Sheehy TW, Anderson PR, Baggs BE. Carbohydrate studies in tropical sprue. Am J Dig Dis 11:461–473, 1966
Fordtran JS, Rector FC Jr, Carter NW. The mechanisms of sodium absorption in the human small intestine. J Clin Invest 47:884–900, 1968
Holdsworth CD, Dawson AM. The absorption of monosacharrides in man. Clin Sci 27:371–379, 1964
Author information
Authors and Affiliations
Additional information
Supported by the National Foundation for Ileitis and Colitis, Inc.; the Nuffield Foundation, Grant RR-71 to the Clinical Research Center, The Mount Sinai Hospital; and MH-17957 from the National Institutes of Health.
Rights and permissions
About this article
Cite this article
Gerson, C.D., Cohen, N., Brown, N. et al. Folic acid and hexose absorption in sprue. Digest Dis Sci 19, 911–919 (1974). https://doi.org/10.1007/BF01076214
Issue Date:
DOI: https://doi.org/10.1007/BF01076214