Alteration of intestinal permeability towards compounds like sugars is
an indication of abnormalities observed in some diseases. Measurement
of the dual sugar absorption of lactulose and mannitol is a non-invas
ive test of intestinal permeability. The use of this test is however l
imited by difficulties in the analysis of sugars in urine at low conce
ntrations. In this study we have developed an analytical procedure for
quantitative assay of the lactulose-mannitol pair in urine by high re
solution gas chromatography. The minimum detectable amounts are 7.5 pg
for lactulose and 4.4 pg for mannitol. The calibration curves are lin
ear in the range of 100-6400 mg L(-1). Recoveries are within the range
56-102% for mannitol and 84-105% for lactulose.