Lactose intolerance, lactose malabsorption and genetic predisposition to adult-type hypolactasia in patients after restorative proctocolectomy
Author(s) -
Jarosław Walkowiak,
Ewa Fidler-Witoń,
Aleksandra Glapa-Nowak,
Jacek Paszkowski,
Maciej BorejszaWysocki,
Anna Miśkiewicz-Chotnicka,
Tomasz Banasiewicz,
Aleksandra Lisowska
Publication year - 2019
Publication title -
acta biochimica polonica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.452
H-Index - 78
eISSN - 1734-154X
pISSN - 0001-527X
DOI - 10.18388/abp.2018_2730
Subject(s) - malabsorption , lactose intolerance , lactase , gastroenterology , lactose , proctocolectomy , medicine , genetic predisposition , familial adenomatous polyposis , ulcerative colitis , chemistry , food science , cancer , colorectal cancer , disease
This study provides up-to-date findings on lactose malabsorption, lactose intolerance and genetic predisposition to adult-type hypolactasia in 72 patients after restorative proctocolectomy (RPC). The lactose malabsorption was assessed by hydrogen-methane breath test. Genetic predisposition to adult-type hypolactasia was assessed by detecting -13910T/C polymorphism in the lactase gene. Lactose intolerance was more frequent in UC (ulcerative colitis) patients than FAP (familial adenomatous polyposis) patients (77.5% vs. 55.2%; p=0.01). The C/C genotype of the lactase gene was observed in 39.1% subjects with no significant difference between UC and FAP patients. Lactose malabsorption occurred in 10.1% of subjects and almost only in patients with genetic predisposition, with the same frequency in UC and FAP patients.
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