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In line with many other labs in the UK, we are looking at withdrawing our assay for faecal sugar chromatography. The consensus seems to be that up to 80% of malabsorption syndromes can be diagnosed by clinical history and basic haematology / biochemistry screening. Others who have withdrawn this test have advised clinicians to trial to lactose free diet with monitoring of symptoms. However, short of performing a bowel biopsy, the diagnostic test of choice for the investigation of carbohydrate malabsorption is breath testing. Can anyone tell me whether a lactose free diet is as effective in ruling in / out lactose intolerance as a breath test? And how long should patients trial the diet? I would also appreciate advice / comments from others who have already been down this route, particularly if you had any strong objections from any group. With many thanks Alison Jones Principal Clinical Biochemist Doncaster Royal Infirmary Armthorpe Road Doncaster Tel: 01302 553131 Travelling to Doncaster Royal Infirmary? Why not use the free Park & Ride service from Doncaster racecourse - free parking with free shuttle buses to and from the hospital every 15 minutes (6.30am-10pm, Mon-Fri). Travelling between our hospitals? Why not use the free shuttle buses between: Bassetlaw Hospital and Doncaster Royal Infirmary Montagu Hospital and Doncaster Royal Infirmary This email is confidential, private and privileged. If you are not the intended recipient please accept our apologies. Do not disclose, copy or distribute information in this email or take any action in reliance on its contents; to do so is strictly prohibited and may be unlawful. Please inform us that this email has gone astray before deleting it. Thank you for your cooperation. ------ACB discussion List Information-------- This is an open discussion list for the academic and clinical community working in clinical biochemistry. Please note, archived messages are public and can be viewed via the internet. Views expressed are those of the individual and they are responsible for all message content. ACB Web Site http://www.acb.org.uk Green Laboratories Work http://www.laboratorymedicine.nhs.uk List Archives http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html List Instructions (How to leave etc.) http://www.jiscmail.ac.uk/