Giardia intestinalis and fecal fat analysis

Yıl 2012, Cilt: 11 Sayı: 1, 7 - 10, 01.04.2012

Şebnem Üstün Nevin Oruç Tankut İlter

Öz

Background and Aims: Malabsorption patients in whom fecal fat analysis was performed were also investigated for Giardia intestinalis. Materials and Methods: Fecal fat tests were studied in 75 malabsorption patients who had applied to the Gastroenterology Department of Ege University Medical Faculty in the period 2009-2010. In addition, stools were examined by parasitological methods in terms of Giardia intestinalis. Results: As a result of stool examination of 75 malabsorption cases, Giardia intestinalis cysts were determined in four of them. Conclusions: To identify giardiasis in malabsorption patients, parasitological stool examination in the differential diagnosis is important.

Anahtar Kelimeler

Giardiasis, steatorrhea

Giardia intestinalis ve gaitada total yağ tayini

Öz

Giriş ve Amaç: Gaitada total yağ testi çalışılan malabsorbsiyon tanılı hastalar Giardia intestinalis paraziti yönünden incelenmiştir. Gereç ve Yöntem: Ege Üniversitesi Tıp Fakültesi Gastroenteroloji Kliniğine 2009-2010 yılında başvuran yetmiş beş malabsorbsiyon olgusunda gaitada total yağ testi çalışılmıştır. Hastaların gaitaları parazitolojik olarak incelenmiş, Giardia intestinalis açısından değerlendirilmiştir. Bulgular: Yetmiş beş malabsorbsiyon olgusunun gaita incelemesi sonucu 4'ünde Giardia intestinalis kistleri saptanmıştır. Sonuç: Malabsorbsiyon olgularında giardiasis'in tanımlanabilmesi için gaitada parazitolojik inceleme yapılması ayırıcı tanı için önemlidir.

Anahtar Kelimeler

Giardiasis, steatore

Kaynakça

• Hill DR. Giardia lamblia. In: Mandell GL, Bennett JE, Dolin R, eds. Principles and Practice of Infectious Diseases. 4th edition. Churchill Livingstone Inc, New York 1995;2487-93.
• Huston DC, Guerrant RL. Intestinal protozoa. In: Feldman M, Friedman LS, Sleisenger MH eds. Sleisenger and Fordtran’s Gastrointestinal and Liver Disease (Pathophsiology/Diagnosis/Management), 7th edition. Saunders, Philadelphia 2002;1933-46.
• Ak M, Türk M, Günes K. Giardiosis. In: Özcel’in Tibbi Parazit Hastaliklari. Özcel MA ed. Meta Basim Matbaacilik Hizmetleri, Izmir.2007; 322-44.
• Markell EK, Voge M, John DT. Medical Parasitology, 7th ed. Saunders Company 1992; 63-79.
• Thomson RCA, Reynoldson JA, Mendis AH. Giardia and giardiasis. Adv Parasitol 1993;32:71-160.
• Farthing MJH. Tropical malabsorption and tropical diarrhea. In: Feldman M, Friedman LS, Sleisenger MH eds. Sleisenger and Fordtran’s Gastrointestinal and Liver Disease, (Pathophsiology/Diagnosis/Management), 7th edition. Saunders, Philadelphia 2002;1842-6.
• Högenauer C, Hammer HF. Maldigestion and Malabsorbtion: In: Feldman M, Friedman LS, Sleisenger MH eds. Sleisenger and Fordtran’s Gastrointestinal and Liver Disease, (Pathophsiology/Diagnosis/Management), 7th ed. Saunders, Philadelphia 2002;1751-77.
• Müler N, von Allmen N. Recent insights into the mucosal reactions associated with Giardia lamblia infections. Int J Parasitol 2005;35: 1339-47.
• Behera B, Mirdha BR, Makharia GK, et al. Parasites in patients with malabsorption syndrome: A clinical study in children and adults. Dig Dis Sci 2008;53:672-9.
• Bhattia SK, Bell TK, Love AH, Montgomery DA. An evaluation of a test using 14C labelled triglyceride in the diagnosis of steatorrhoea. Ir J Med Sci 1969; 2: 545-52.
• Sugai E, Srur G, Vazquez H, et al. Steatocrit: a reliable semiquantitative method for detection of steatorrhoea. J Clin Gastroenterol 1994;19:206-9.
• Beckers O, Postma C, Lombarts AJ. Determination of faecal fat by near infrared absorption spectroscopy. Eur J Clin Chem Clin Biochem 1995; 33:83-6.
• O’Kane MJ, Allen EC, Grant O. Desiccated coconut as a qualitycontrol material in fecal fat measurements. Clin Chem 1998;44: 2227-8.
• Wallach J. Interpretation of diagnostic tests. 2nd ed. Little, Brown and Company, Boston, US 1978;118-9.
• Mentes NK. Klinik Gastroenteroloji.4. Bask›.Sanem Matbaasi, Izmir 1982;287-9.
• Lust M, Nandurkar S, Gibson PR. Measurement of faecal fat excretion: an evaluation of attitudes and practices of Australian gastroenterologists Intern Med J 2006;36:77-85.
• Balcioglu C, Yereli K, Ertan P, et al. Giardiosis’li çocuklarda sindirim durumunun degerlendirilmesi. T Parazitol Derg 1997;21:137-40.
• Altintafl K. Tibbi Klinik Parazitoloji. MN Medikal & Nobel Tip Kitap Ankara 2004;6-7.
• Uysal I. Giardiosisde steatokrit yöntemi ile malabsorbsiyonun degerlendirilmesi. Uzmanlik tezi DEÜTF Çocuk Klinigi 1985.
• Erdem N, Uysal I. Measurements of fat loss, by steatocrite method in giardiasis. Journal of Dokuz Eylül University Faculty of Medicine 1986;2:103-7.
• Koçlar G. Giardiosisde malabsorbsiyonun steatokrit yöntemi kullanilarak degerlendirilmesi. Uzmanlik tezi, EÜTF Parazitoloji Bilim Dali 1992.