Breath test

Surgery – Diagnostic testing – Respiratory

Reexamination Certificate

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C073S023300, C422S084000

Reexamination Certificate

active

07338454

ABSTRACT:
A method of assessing the state of the lining of the small intestine in a mammal or human injesting a suitable labelled test substrate which requires conversion by a brush border enzyme for transport across the small intestinal lining. Suitable substrates include sucrose and maltose. The transport of these can very conveniently be measured by assessing the amount of label present in carbon dioxide expelled in the breath after a period of time. It has been shown that this method has application to assessing damage cause by chemotherapeutic induced mucositis as well as gastroenteritis with an infectious cause.

REFERENCES:
patent: 5711306 (1998-01-01), Guilluy
patent: 5924995 (1999-07-01), Klein et al.
patent: 6186958 (2001-02-01), Katzman et al.
Abstract, M Hiele et al, “Measurement of the rate of assimilation of oligo- and polysaccharides by 13CO2 breath tests and isotope ratio mass spectrometry,” Biomedical Environmental Mass Spectrometry, Oct. 1988, (1-12) pp. 133-135.
Klein, et al., “Applications of Stable Isotopes to Pediatric Nutrition and Gastroenterology: Measurement of Nutrient Absorption and Digestion Using 13C”, J. of Pediatr. Gastroenterology and Nutrition, 4:9-19 (1985).
Lo, et al., “Breath Tests: Principles, Problems, and Promise”, Adv. Pediatr., 29:105-127 (1982).
Hoekstra, et al., “Evaluation of 13CO2 Breath Tests for the Detection of Fructose Malabsorption”, J. Lab. Clin. Med., 127(3): 303-309 (1996).
Hiele, et al., “Measurement of the Rate of Assimilation of Oligo- and Polysaccharides by 13CO2 Breath Tests and Isotope Ratio Mass Spectrometry”, Biomed. and Environmental Mass Spectrometry, 16:133-135 (1998).
Koetse, et al., “Non-Invasive Detection of Low-Intestinal Lactase Activity in Children by Use of a Combined 13CO2/H2 Breath Test”, Scandinavian J. Gastroenterol., pp. 35-40.
King, et al., “the Use of Breath Tests in the Study of Malabsorption”, Clinics in Gastroenterology, 12(2):591-610 (1983).
Sasaki, et al., “intestine: Physiological Function Test and Inflammation—Evaluation of Intestinal Mucosal Function by Measuring Expired 14CO2 After oral Administration of 14C-Putrescine”, Journal of Gastroenterology and Hepatology, 16:986-990.

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