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. 1978 Oct 7;2(8093):763-4.
doi: 10.1016/s0140-6736(78)92650-8.

Diagnosis of protein-losing enteropathy by gastrointestinal clearance of alpha1-antitrypsin

Diagnosis of protein-losing enteropathy by gastrointestinal clearance of alpha1-antitrypsin

J J Bernier et al. Lancet. .

Abstract

Alpha1-antitrypsin was assessed, in 10 patients with protein-losing enteropathy and 13 control subjects, as an endogenous marker of plasma-protein loss into the gastrointestinal tract. Both faecal alpha1-A.T. concentrations and faecal alpha1-A.T. clearance were significantly higher in patients than in controls. Wtih clearance there was no overlap between the groups. Over 10 days the normal gastrointestinal clearance of alpha1-A.T. was 3.07 +/- 2.25 (S.D.) ml/day. Measurement of alpha1-A.T. clearance is easy and requires no radioisotopes.

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