Metabolismo de los hidratos de carbono en los enterocitos de sujetos con enfermedad de Crohn y colitis ulcerosa.
Introduction: There are specific foods or groups of foods that can be linked to the aggravation of inflammatory bowel disease (IBD). Foods commonly identified by IBD patients (Ulcerative colitis and Crohns disease) as causing symptoms on reintroduction, rechallenge, and double-blind challenge, include milk, peanuts, citrus fruits, wheat, eggs, fish, etc. IBD is controversially discussed as an independent risk factor for lactose malabsorption. Some data show lactose intolerance in 40% to 70% of patients with Crohns disease (CD), whereas a prevalence of lactose intolerance seems not to be increased in patients with ulcerative colitis (UC). Lactose maldigestion may be influenced by bacterial overgrowth and increased small bowel transit time. Hypothesis: Patients with IBD show lactose and/or fructose malabsorption frequently than healthy people. Patients and methods: 156 patients with IBD (86 with CD and 71 with UC) and 41 controls were included prospectively in the study. The diagnosis of IBD was based on findings of characteristic radiologic, endoscopic, and microscopic features. Disease activity was determined using the CDAI and the Truelove index for CD and UC, respectively. Blood was drawn to determine concentrations of inflammatory markers, hemoglobin and Celiac disease markers. Lactose, fructose and lactulose hydrogen breath test were carried out to all subjects. All individuals completed a symptom score where were asked about their subjective experience with diarrhea, bloating, flatulence and abdominal distension after ingestion of each sugar. Results and conclusions: The prevalence of lactose malabsorption in patients with IBD was similar to that of healthy group and was not influenced by location, inflammatory activity, Vienas phenotype or previous ileocolic resection. Lactose intolerance occurred more often among patients than among controls both during the test and in the next 24h. Fructose malabsorption was similar in UC patients and controls, but was increased in CD patients with respect to both groups. Patients show fructose intolerance 24h after the test more often than controls while patients and controls intolerance during the test was similar. The prevalence of bacterial overgrowth in patients with UC and controls was similar while was increased in CD patients. Orocecal transit time was slower in UC patients.
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Advisor:Mínguez Pérez, Miguel; Benages Martínez, Adolfo
School:Universitat de València
Source Type:Master's Thesis
Keywords:bioquímica i biologia molecular
Date of Publication:12/17/2007