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Clinical Chemistry 34: 2125-2126, 1988;
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Clinical Chemistry, Vol 34, 2125-2126, Copyright © 1988 by American Association for Clinical Chemistry

Automating the quantification of heme in feces

JW van den Berg, R Koole-Lesuis, A Edixhoven-Bosdijk and N Brouwers
Erasmus University, Department of Internal Medicine II, Rotterdam, The Netherlands.

We present a modification of the HemoQuant assay, a good but lengthy and tedious method for determining heme in feces by means of its transformation to porphyrins. The laborious extraction procedure was replaced by a simple centrifugation procedure. The nonhomogeneous hot oxalic acid suspension was replaced by acetic acid. We observed no significant difference in results between samples analyzed by the older method vs the present modification (r = 0.996, n = 52). Mean (and SD) analytical recoveries of added hemoglobin and protoporphyrin were 99% (7%) and 93% (6%), respectively. The analytical procedure can now be automated by using discrete samplers and a flow-through fluorometer. Initial sampling and dilution of feces are still done manually, however. The excellent specificity, sensitivity, and overall analytical performance of the original method are retained, while circumventing the practical inconveniences of this reliable screening test for occult blood in feces.


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