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Fructose Malabsorption is Associated with Decreased Plasma Tryptophan

Background: Fructose malabsorption is characterized by the inability to absorb fructose efficiently. As a consequence fructose reaches the colon where it is broken down by bacteria to short fatty acids, CO2, H2, CH4 and lactic acid. Bloating, cramps, osmotic diarrhea and other symptoms of irritable...

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Published in:Scandinavian journal of gastroenterology 2001-01, Vol.36 (4), p.367-371
Main Authors: LEDOCHOWSKI, M, WIDNER, B, MURR, C, SPERNER-UNTERWEGER, B, FUCHS, D
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Language:English
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cited_by cdi_FETCH-LOGICAL-c2650-77fdaa966ec5dfd88671a138d456d8096cfe323c7eaae2a3027ae50e94482e8b3
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container_title Scandinavian journal of gastroenterology
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creator LEDOCHOWSKI, M
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description Background: Fructose malabsorption is characterized by the inability to absorb fructose efficiently. As a consequence fructose reaches the colon where it is broken down by bacteria to short fatty acids, CO2, H2, CH4 and lactic acid. Bloating, cramps, osmotic diarrhea and other symptoms of irritable bowel syndrome are the consequence and can be seen in about 50% of fructose malabsorbers. Recently it was found that fructose malabsorption was associated with early signs of depressive disorders. Therefore, it was investigated whether fructose malabsorption is associated with abnormal tryptophan metabolism. Methods: Fifty adults (16 men, 34 women) with gastrointestinal discomfort were analyzed by measuring breath hydrogen concentrations after an oral dose of 50 g fructose after an overnight fast. They were classified as normals or fructose malabsorbers according to their breath H2 concentrations. All patients filled out a Beck depression inventory questionnaire. Blood samples were taken for plasma tryptophan and kynurenine measurements. Results:
doi_str_mv 10.1080/00365520117856
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As a consequence fructose reaches the colon where it is broken down by bacteria to short fatty acids, CO2, H2, CH4 and lactic acid. Bloating, cramps, osmotic diarrhea and other symptoms of irritable bowel syndrome are the consequence and can be seen in about 50% of fructose malabsorbers. Recently it was found that fructose malabsorption was associated with early signs of depressive disorders. Therefore, it was investigated whether fructose malabsorption is associated with abnormal tryptophan metabolism. Methods: Fifty adults (16 men, 34 women) with gastrointestinal discomfort were analyzed by measuring breath hydrogen concentrations after an oral dose of 50 g fructose after an overnight fast. They were classified as normals or fructose malabsorbers according to their breath H2 concentrations. All patients filled out a Beck depression inventory questionnaire. Blood samples were taken for plasma tryptophan and kynurenine measurements. 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Semiology</subject><subject>Reference Values</subject><subject>Sensitivity and Specificity</subject><subject>Statistics, Nonparametric</subject><subject>Stomach. Duodenum. Small intestine. Colon. Rectum. 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Liver. Pancreas. Abdomen</topic><topic>Humans</topic><topic>Hydrogen-Ion Concentration</topic><topic>Malabsorption Syndromes - blood</topic><topic>Malabsorption Syndromes - diagnosis</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Other diseases. Semiology</topic><topic>Reference Values</topic><topic>Sensitivity and Specificity</topic><topic>Statistics, Nonparametric</topic><topic>Stomach. Duodenum. Small intestine. Colon. Rectum. 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source Taylor and Francis:Jisc Collections:Taylor and Francis Read and Publish Agreement 2024-2025:Medical Collection (Reading list)
subjects Administration, Oral
Adolescent
Adult
Aged
Biological and medical sciences
Breath Tests
Chromatography, High Pressure Liquid
Fasting
Female
Fructose - administration & dosage
Fructose - pharmacokinetics
Fructose Loading Test Fructose Malabsorption H2 Exhalation Tryptophan
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Hydrogen-Ion Concentration
Malabsorption Syndromes - blood
Malabsorption Syndromes - diagnosis
Male
Medical sciences
Middle Aged
Other diseases. Semiology
Reference Values
Sensitivity and Specificity
Statistics, Nonparametric
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Tryptophan - blood
title Fructose Malabsorption is Associated with Decreased Plasma Tryptophan
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