PMID- 6620060 OWN - NLM STAT- MEDLINE DCOM- 19831123 LR - 20131121 IS - 0277-2116 (Print) IS - 0277-2116 (Linking) VI - 2 IP - 3 DP - 1983 TI - Breath hydrogen analysis: a review of the methodologies and clinical applications. PG - 525-33 AB - Hydrogen gas (H2) is a product of the fermentation of dietary carbohydrate (CHO) by bacteria in the lumen of the gastrointestinal tract in man. Thus, H2 is actually an exogenously produced gas, which either is passed as flatus, or diffuses into the body and is exhaled. In the adult, a fairly constant fraction is expired, providing a reliable indicator of total colonic H2 production. Breath H2 analysis currently represents a useful clinical means of testing adults and older children for the malabsorption of CHO. Noninvasive and easy procedures for the collection of expired air have encouraged their increasingly widespread use in pediatrics. Evidence to date suggests that breath H2 analysis may provide the best available method for estimating semiquantitatively the degree of CHO malabsorption. The association of the results of breath H2 analysis with other clinical measures of CHO digestion and absorption is expected, but discrepancies can also be anticipated based on the nature of this particular trace gas method. The interpretation of the results of breath H2 analysis in neonates and young infants remains especially problematic because of confounding variables which are difficult to control and are measured infrequently. FAU - Ostrander, C R AU - Ostrander CR FAU - Cohen, R S AU - Cohen RS FAU - Hopper, A O AU - Hopper AO FAU - Shahin, S M AU - Shahin SM FAU - Kerner, J A Jr AU - Kerner JA Jr FAU - Johnson, J D AU - Johnson JD FAU - Stevenson, D K AU - Stevenson DK LA - eng PT - Journal Article PL - United States TA - J Pediatr Gastroenterol Nutr JT - Journal of pediatric gastroenterology and nutrition JID - 8211545 RN - 7YNJ3PO35Z (Hydrogen) SB - IM MH - Adult MH - Breath Tests/*methods MH - Chromatography, Gas MH - Colon/metabolism/microbiology MH - Diarrhea, Infantile/diagnosis MH - Humans MH - Hydrogen/*analysis MH - Infant MH - Infant, Newborn MH - Intestinal Absorption MH - Lactose Intolerance/*diagnosis EDAT- 1983/01/01 00:00 MHDA- 2001/03/28 10:01 CRDT- 1983/01/01 00:00 PHST- 1983/01/01 00:00 [pubmed] PHST- 2001/03/28 10:01 [medline] PHST- 1983/01/01 00:00 [entrez] PST - ppublish SO - J Pediatr Gastroenterol Nutr. 1983;2(3):525-33.