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Archives of Disease in Childhood 1977;52:74-76; doi:10.1136/adc.52.1.74
Copyright © 1977 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health.

Use of a simple duodenal capsule to study upper intestinal microflora.

M Gracey, Suharjono, Sunoto

The upper intestinal microflora was studied in 10 malnourished Indonesian children using the paediatric Enterotest Capsules. Trophozoites of Giardia lamblia were found in 2 specimens, profuse fungal mycelia in 3, and ascaris worms and eggs in 1. In 9 patients an abnormally profuse small intestinal bacterial flora was found. Provided precautions are taken to exclude artefactual contamination of the line on its withdrawal, this is a safe and simple method for studying the upper gut flora which could be applied to field conditions since it does not require radiological facilities.


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  • Korman, S. H. (1990). The Duodenal String Test: A Simple Multipurpose Diagnostic Tool in Clinical Pediatrics. Arch Pediatr Adolesc Med 144: 803-805 [Abstract]  
  • Liebman, W. M., Rosenthal, P. (1983). Evaluation of the String Test in Intestinal Bacterial Overgrowth. Arch Pediatr Adolesc Med 137: 1177-1178 [Abstract]  

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