Exocrine pancreatic function in children with Alagille syndrome.
Sci Rep
; 6: 35229, 2016 10 17.
Article
em En
| MEDLINE
| ID: mdl-27748459
ABSTRACT
Alagille syndrome (AGS) is often associated with symptoms of maldigestion, such as steatorrhea, hypotrophy and growth retardation. Exocrine pancreatic insufficiency was proposed as the underlying cause. We aimed to assess the exocrine pancreatic function with the use of different methods in AGS patients. Concentrations of fecal elastase-1 (FE1) and fecal lipase (FL) activities were measured in 33 children with AGS. The C-mixed triglyceride breath test (MTBT) in a subgroup comprising 15 patients. In all patients studied, FE1 concentrations and FL activities were normal. Abnormal MTBT results were documented in 4 (26.7%) patients. The FE1 and FL levels in MTBT-positive and MTBT-negative children did not differ. The results of this research do not confirm the presence of exocrine pancreatic dysfunction in AGS patients. Routine screening for exocrine pancreatic insufficiency of this group of patients is not necessary.
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Pâncreas
/
Insuficiência Pancreática Exócrina
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Elastase Pancreática
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Síndrome de Alagille
/
Lipase
Limite:
Adolescent
/
Adult
/
Child
/
Child, preschool
/
Humans
/
Infant
Idioma:
En
Ano de publicação:
2016
Tipo de documento:
Article