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Physiology G.I.T. 7e2677d4

A 41-year-old patient presented with chronic diarrhea from last 3 months. A D xylose absorption test will reveal which of the following:

A
Carbohydrate malabsorption due to mucosal disorder
B
Carbohydrate malabsorption due to chronic pancreatitis
C
Fat malabsorption due to mucosal disorder
D
Fat malabsorption due to chronic pancreatitis
High-Yield Explanation
Ans. A Carbohydrate malabsorption due to mucosal disorderRef: Methods in Disease: Investigating the Gastrointestinal Tract by Victor R Preddy pg. 43* Xylose is a pentose sugar and is absorbed directly from intestinal nucosa.* D xylose will reveal carbohydrate malabsorption due to mucosal disorder, but in malabsorption due to pancreatic disease, the D-xylose test should be normal.* Due to high false positives and ease of obtaining small intestinal biopsy after endoscopy, intestinal biopsy is the preferred method.

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