Literature DB >> 9206513

[Diagnosis of Gilbert's syndrome: current status of the fasting test. Review of the literature].

J L Mendoza Hernández1, J García Paredes, J R Larrubia Marfil, C Casimiro Peytavi, M Díaz-Rubio.   

Abstract

UNLABELLED: Gilbert's syndrome is a benign, often familial condition characterized by recurrent but asymptomatic jaundice. AIM: To describe the involvement of the reduced caloric intake test, used as a diagnostic test in Gilbert's syndrome.
METHOD: 49 patients were diagnosed of Gilbert's syndrome for 6 years. 39 patients took 400 kcal/day for three days. The unconjugated bilirubinemia levels were measured at 0, 24, 48 and 72 hours.
RESULTS: The 82.05% of test were diagnostics at 24 hours (p < 0.001), while it was necessary 48 hours to 100% of tests were diagnostics (p < 0.05). In any case was necessary to determinate the unconjugated bilirubinemia at 72 hours (p < 0.5).
CONCLUSIONS: The best diagnostic efficiency of the reduced caloric intake test is at 48 hours, while the 24 hours determination could be considered diagnostic in a big percentage of the cases. It is not necessary the determination at 72 hours in any case.

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Year:  1997        PMID: 9206513

Source DB:  PubMed          Journal:  An Med Interna        ISSN: 0212-7199


  2 in total

1.  The frequency, clinical course, and health related quality of life in adults with Gilbert's syndrome: a longitudinal study.

Authors:  Sanaa Kamal; Sara Abdelhakam; Dalia Ghoraba; Yasmin Massoud; Kareem Abdel Aziz; Huda Hassan; Tamer Hafez; Ahmed Abdel Sallam
Journal:  BMC Gastroenterol       Date:  2019-02-04       Impact factor: 3.067

2.  The inverse starving test is not a suitable provocation test for Gilbert's syndrome.

Authors:  Niels Teich; Inken Lehmann; Jonas Rosendahl; Michael Tröltzsch; Joachim Mössner; Ingolf Schiefke
Journal:  BMC Res Notes       Date:  2008-06-24
  2 in total

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