RT Journal Article SR Electronic T1 Cell mediated immunity to corn starch in starch-induced granulomatous peritonitis. JF Gut JO Gut FD BMJ Publishing Group Ltd and British Society of Gastroenterology SP 202 OP 205 DO 10.1136/gut.17.3.202 VO 17 IS 3 A1 R L Goodacre A1 R L Clancy A1 R A Davidson A1 J E Mullens YR 1976 UL http://gut.bmj.com/content/17/3/202.abstract AB Two patients with histologically diagnosed starch induced granulomatous peritonitis (SGP) have been shown to have cell mediated immunity to corn starch using the techniques of macrophage migration inhibition and lymphocyte DNA synthesis. Control groups of normal subjects, patients with uncomplicated laparotomy, and patients with Crohn's disease were negative in both tests. Lymphocytes from two patients with band adhesions, one of whom had biopsy evidence of a granulomatous reaction to starch, were sensitized to starch. Cell mediated immunity to starch may contribute to the pathogenesis of SGP, and some band adhesions may be a chronic low grade manifestation of this disorder.