Transcutaneous fluorescence spectroscopy as a tool for non-invasive monitoring of gut function: first clinical experiences

经皮荧光光谱法作为肠道功能无创监测工具:首次临床经验

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作者:James Maurice, Aaron M Lett, Charlotte Skinner, Alexandra Lim, Matthew Richardson, Ajesh Painadath Thomas, Peter A Summers, Khushi Vyas, Abdul Wadood Tadbier, Ramon Vilar, Marina K Kuimova, Serge Miodragovic, Nikhil Vergis, Paul Kelly, Maria Francesca Cordeiro, Jonathan Hoare, Ara Darzi, Robert Gold

Abstract

Gastro-intestinal function plays a vital role in conditions ranging from inflammatory bowel disease and HIV through to sepsis and malnutrition. However, the techniques that are currently used to assess gut function are either highly invasive or unreliable. Here we present an alternative, non-invasive sensing modality for assessment of gut function based on fluorescence spectroscopy. In this approach, patients receive an oral dose of a fluorescent contrast agent and a fibre-optic probe is used to make fluorescence measurements through the skin. This provides a readout of the degree to which fluorescent dyes have permeated from the gut into the blood stream. We present preliminary results from our first measurements in human volunteers demonstrating the potential of the technique for non-invasive monitoring of multiple aspects of gastro-intestinal health.

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