Steatorrhea diagnostic study of choice
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Vindhya BellamKonda, M.B.B.S [2]
Overview
The 72 hr-fecal fat determination is the gold standard test for the diagnosis of steatorrhea
Diagnostic Study of Choice
Study of choice:
- Among patients who present with clinical signs of steatorrhea, the acid steatocrit is the most specific and sensitive test for the diagnosis.
- 72 hr-fecal fat determination is the gold standard test for the diagnosis of steatorrhea
- Greater than 6 gram/day of fat in stool is diagnostic of 72 hr-fecal fat determination in confirming the diagnosis of steatorrhea
- Patients with steatorrhea usually have >20 gram/day
The comparison table for diagnostic studies of choice for steatorrhea
| Sensitivity | Specificity | |
|---|---|---|
| 72 hr-fecal fat determination | 76% | 99% |
| SudanIII stain | 95% | 94% |
| Acid steatocrit | 95% | 100% |