Year 2025 / Volume 117 / Number 12
Letter
Initiation of SeHCAT® protocol in a digestive service: a further step in the management of chronic diarrhea

777-778

DOI: 10.17235/reed.2024.10788/2024

María Martínez Burgos, Javier Villena-Salinas, José Antonio Martínez Otón, Marta Gallego Peinado,

Abstract
Bile acid malabsorption (BAM) is a common cause of chronic diarrhoea. Recent work has shown that it is probably an under-diagnosed entity. BAM is classified into 4 types depending on what conditions it. Type I involves organic involvement of the ileal mucosa. Type II is related to alterations in permeability in what is known as irritable bowel syndrome with a predominance of diarrhoea. Type III is related to other alterations of the digestive tract such as celiac disease, pancreatic insufficiency, cholecystectomy or bacterial overgrowth. Type IV is related to drugs that produce MAB as a side effect. There is a test for the detection of MAB with high sensitivity and specificity, non-invasive and with few associated complications, which is the 75Selenium and tauroselcholic acid scintigraphy (75SeHCAT®).
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References
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Martínez Burgos M, Villena-Salinas J, Martínez Otón J, Gallego Peinado M. Initiation of SeHCAT® protocol in a digestive service: a further step in the management of chronic diarrhea. 10788/2024


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Publication history

Received: 10/09/2024

Accepted: 11/09/2024

Online First: 19/09/2024

Published: 12/12/2025

Article Online First time: 9 days

Article editing time: 458 days


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