Mark a FALSE statement with regards to diagnostic studies in steatorrhea of various etiologies.: (A) Chronic pancreatitis- D-Xylulose test is normal , schilling test-abnormal ,duodenal biopsy-normal, (B) Bacterial overgrowth syndrome- D-Xylulose test -normal , schilling test-abnormal ,duodenal biopsy- normal, (C) Celiac disease-D-Xylulose test-Decreased , schilling test- normal ,duodenal biopsy - Absent villi, (D) Intestinal lymphangiectasia-D-Xylulose test- Abnormal , schilling test- normal ,duodenal biopsy- dilated lymphatics
Answer is D. Results of Diagnostic Studies in Steatorrhea of Various Etiologies: D-XYLOSE TEST SCHILLING TEST DUODENAL MUCOSAL BIOPSY Chronic pancreatitis Normal 50% abnormal; if abnormal, normal with pancreatic enzyme treatment Normal Bacterial overgrowth syndromes Normal or only modestly abnormal Often abnormal; if abnormal, normal after antibiotic treatment Usually normal Heal disease Normal Abnormal Normal Celiac disease Decreased Normal Abnormal: probably "flat" Intestinal lymphangiectasia Normal Normal Abnormal: "dilated lymphatics"