Basics of 13C Breath Testing
Breath Tests are a new non-invasive technique, which offer real benefits to both patient and doctor. A range of tests is available to clinicians for gastro-intestinal and metabolic diseases. Breath Tests use metabolites labeled with a
non-radioactive isotope of carbon, which removes the environmental and safety concerns associated with radioactive materials, while obtaining definitive results.
A 13C Breath Test consists of the administration to a patient of a 13C labeled substrate that is metabolized by a specific enzyme system resulting in 13CO2 as the end product. To monitor the enzyme response, 13C enrichment is measured in breath CO2.
The total procedure of 13C Breath testing includes definition of the preparation of the patient before the test,
administration of the 13C labeled substrate, collection of breath samples, measurement of 13C enrichment in breath CO2 and calculation of an end result.
To detect the Helicobacter pylori bacteria in the stomach, the Urea-13C Breath Test is used.
Campro Scientific offers you a wide range of 13C-labeled compounds (or Breath Test Substrates) for application in the following breath tests. Download Campro Brochures pfeil
Basics of H2 and CH4 Breath Testing
Hydrogen and methane are produced in the digestive system primarily only by the bacterial fermentation of carbohydrates (sugars, starches or vegetable fibers), so either of these gases appear in the expired air, it is usually a signal that carbohydrates or carbohydrate fragments have been exposed to bacteria, permitting such fermentation to take place.
Bacteria are ordinarily not present in significant numbers in the small intestine, where digestion and absorption of sugars take place. Therefore, when a challenge dose (eg. lactose) is ingested, the level of hydrogen in alveolar air will rise significantly within one to two hours (depending on the intestinal transit time) only if the sugar is not digested and, therefore reaches the colon.
Function Test
• Gastro intestinal function
- Digestion
Carbohydrate Digestion
13C Lactose high enriched
13C Lactose natural enriched
13C Sucrose
13C Starch
Lipid Digestion
13C Triolein
13C Tripalmitin
13C Tristearin
- Absorption
Carbohydrate Absorption
13C D-Glucose
13C D-Fructose
13C D-Galactose
Fatty Acid Absorption
13C Palmitic Acid
13C Stearic Acid
13C Linoleic Acid
• Liver function
13C Aminopyrine
13C Methacetin
13C Ketoisocaproic Acid
13C Phenacetin
13C D-Galactose
13C Caffein
• Pancreatic function
13C Mixed Triglyceride
13C Cholesteryl Octanoate
Gastro Intestinal Transit
• Gastric emptying rate
- Solid Fase
13C Octanoic Acid
- Liquid Fase
13C Sodium Octanoate
13C Sodium Acetate
13C Glycine
• Oro-cecal transit time
13C Lactosyl Ureide
Bacterial Implication
• Helicobacter pylori
13C Urea
• Small bowel bacterial overgrowth
13C D-Xylose
13C Cholylglycine
Metabolism
• Amino acid metabolism
13C Leucine
• Fatty acid oxidation
13C Linolenic Acid
° Breath Test Analysers
13C Breath Test Analysers
• HeliFANplus
• FANci2
• HeliFANplus with Autosampler
H2 / CH4 Breath Test Analysers
• Breath Test Samplers
- GaSampler Kit
- AlveoSampler Kit
- EasySampler Kit