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This would include the following: Blood: Electrolytes, glucose, blood urea nitrogen, creatinine, amino acids, alanine aminotransferase, gamma glutamyltransferase, lactate, ammonia, plasma carnitine and acylcarnitine, amylase and lipase Urine for D-aminolevulinic acid, organic acids, ketones and porphilinogen to rule out metabolic disorders Imaging to include: upper gastrointestinal (GI) radiographic imaging, abdominal ultrasound or computed tomography scan to exclude structural or inflammatory disorders of the GI tract Brain magnetic resonance imaging, upper GI endoscopy and urine toxicology may be warranted in certain situations MANAGEMENT (Fig

European Journal of Gastroenterology and Hepatology 2000 12(5) 483-487