Saturday, 10 April 2010

Malabsorption

Malabsorption

Suboptimal absorption
Fats
Vitamins
Proteins
Carbohydrates
Electrolytes
Minerals
Water

Symptoms
Abdo pain
Bloating
Flatus
Diarrhoea
Steatorrhea
WL
Failure to thrive
Vitamin & metal deficiencies

Pathology
1) xIntraluminal digestion (digestion enzyme dysfunction)
2) xTerminal digestion (luminal brush border dysf)
3) xTransepithelial transport (epith transp dysf)

Causes
Coeliac D (coeliac sprue)
Tropical sprue
Lactose intolerance
Pancreatic insufficiency (CF/ChrPi in alcoholics)
Whipple's disease
Parasitic infection (eg G lam)
Sx (short gut syndrome, gastrectomy)
Crohn's disease

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