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Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen

CPT4 code

Name of the Procedure:

Sugars (Mono-, Di-, and Oligosaccharides); multiple qualitative, each specimen
Alternative Name: Qualitative Sugar Analysis

Summary

This procedure involves testing a sample to detect the presence of various sugars, including monosaccharides, disaccharides, and oligosaccharides. It helps identify sugar types in bodily fluids or tissues for diagnostic purposes.

Purpose

The test is used to diagnose or monitor conditions related to carbohydrate metabolism. It helps to identify abnormalities in sugar levels which might indicate disorders like malabsorption syndromes, certain digestive diseases, or inherited metabolic conditions.

Indications

  • Persistent diarrhea or malabsorption symptoms
  • Suspicion of metabolic or genetic disorders affecting carbohydrate metabolism
  • Unexplained nutritional deficiencies
  • Evaluation of intestinal function and health

Preparation

  • Patients may be required to fast for a defined period before the test.
  • Certain medications might need to be adjusted or stopped prior to the procedure.
  • A thorough medical history and physical examination may be necessary.

Procedure Description

  1. A sample (e.g., blood, urine, or tissue) is collected from the patient.
  2. The sample is prepared and subjected to chromatographic or enzymatic methods to identify the presence of specific sugars.
  3. Multiple qualitative analyses are performed to detect various sugar types.
  4. Results are recorded and analyzed by a laboratory professional.

Duration

The actual sample collection typically takes a few minutes, but lab analysis can take a few hours to days depending on the complexity.

Setting

This procedure is usually performed in a laboratory setting, though sample collection might take place in a hospital or clinic.

Personnel

  • Phlebotomist or nurse for sample collection
  • Clinical laboratory technologist for sample analysis
  • Consulting physician or specialist for interpreting results

Risks and Complications

  • Mild discomfort or bruising at the sample collection site
  • Rare risks of false positives or negatives, requiring repeat testing or additional tests

Benefits

  • Accurate diagnosis of carbohydrate metabolism disorders
  • Tailored treatment plans based on specific sugar abnormalities identified
  • Improved management of symptoms related to undetected sugar metabolism issues

Recovery

  • Minimal recovery as it's a simple sample collection procedure.
  • Patients can typically resume normal activities immediately unless specified otherwise by their healthcare provider.

Alternatives

  • Hexose Tolerance Tests
  • Stool pH Tests
  • Breath Tests for detecting hydrogen or methane produced by bacterial fermentation of undigested carbohydrates While these alternatives also assess sugar absorption and metabolism, they vary in specificity, duration, and complexity compared to qualitative sugar analysis.

Patient Experience

Patients might experience slight discomfort during sample collection. Post-procedure, patients can return to their regular activities. Any associated discomfort is generally minimal and manageable with basic care methods.

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