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Abstracts |

Malabsorption in the Chronic Alcoholic.

G. M. Roggin, M.D.; R. M. H. Kater, M.R.A.C.P.; Fabio Tobon, M.D.; and F. L. Iber, M.D., F.A.C.P.
Ann Intern Med. 1969;70(5):1070. doi:10.7326/0003-4819-70-5-1070_3
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Gastrointestinal absorption was measured in 29 consecutive severely alcoholic men. All patients consumed at least 250 g ethanol/day for more than 1 year and lacked overt clinical evidence of severe malnutrition or cirrhosis of the liver. Patients were studied as near to the drinking period as possible. Fecal fat and nitrogen excretion, vitamin B12 absorption, D-xylose absorption, and augmented histamine gastric analyses were performed. Sixty percent of the patients had an elevated fecal fat (range of abnormal, 6 to 18 g/24 hr), 79% had a diminished D-xylose absorption (range, 0.2 to 4.5%), 47% had diminished B12 absorption (range, 0.5 to


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