Search results for "malabsorption"

Chronic Diarrhea in a 5-Year-Old Girl: Pitfall in Routine Laboratory Testing with Potentially Severe Consequences

2009

A 5-year-old girl was referred because of recurrent watery diarrhea, abdominal pain, and flatulence. She was the second of 3 children. Her 10-year-old sister was normally developed and healthy. Her younger brother has meningomyelocele and hydrocephalus. At 1 year of age, the patient was admitted to the hospital for recurrent bronchitis, otitis media, food refusal, mild diarrhea, and abdominal distension since weaning. A sweat chloride analysis excluded cystic fibrosis. At that time, the patient’s laboratory results showed increased C-reactive protein (139 mg/L; reference interval, <5 mg/L) and moderate leukocytosis (14.6 × 109/L; reference interval, 4.5–13.5 × 109/L). Values for all other v…

Metabolic Consequences after Urinary Diversion

2014

Metabolic disturbances are well-known, but sometimes neglected immediate consequences or late sequelae following urinary diversion (UD) using bowel segments. Whereas subclinical disturbances appear to be quite common, clinically relevant metabolic complications, however, are rare. Exclusion of bowel segments for UD results in loss of absorptive surface for its physiological function. Previous studies demonstrated that at least some of the absorbtive and secreting properties of the bowel are preserved when exposed to urine.For each bowel segment typical consequences and complications have been reported. The use of ileal and/or colonic segments may result in hyperchloremic metabolic acidosis …

Secondary impairment of pancreatic function as a cause of severe malabsorption in intestinal giardiasis: A case report

1997

We report the case of a 54-year-old male patient hospitalized for diarrhea and weight loss (8 kg over the previous three months). At admission, we observed pale oral and conjunctival mucosa and peripheral edema of the lower limbs. Stool frequency was 8-10 per day. Laboratory data were as follows: hemoglobin, 11 g/dL; total proteins, 4.3 g/dL; albumin, 2 g/dL; pseudocholinesterase, 1248 U/L; triglycerides, 54 mg/dL; serum cholesterol, 102 mg/dL; calcium, 7.9 mg/dL. Fecal fat was 8.2 g/24 hr. Fecal chymotrypsin (FCT) was 2.3 U/g. A duodenal probe was performed after administration of intravenous secretin and cerulein stimulation, and a contemporaneous mucosal biopsy was taken at the ligament …

Ergebnisse einer S2k-Konsensuskonferenz der Deutschen Gesellschaft für Gastroenterologie, Verdauungs- und Stoffwechselerkrankungen (DGVS) gemeinsam m…

2014

¿Es real el riesgo de osteoporosis y riesgo de fracturas con el uso crónico de inhibidores de la bomba de protones?

2011

Proton pump inhibitors (PPI) are one of the most widely used groups of drugs and their potential toxicity is periodically reviewed, emphasizing aspects originally considered secondary. The present review analyzes the physiological and pharmacological bases and the scarce clinical evidence for a potential association between the continued administration of PPI and the development of osteoporosis and bone fractures. Both disorders are clearly related to calcium homeostasis and are highly important in elderly patients due to their poor general prognosis and disabling consequences.

Vitamin A (Retinol) und Retinolbindendes-Protein (RBP) im Serum bei Maldigestion, Malabsorption und Lebercirrhose

1974

Bei Normalpersonen und Patienten mit Malabsorption, Maldigestion und Lebercirrhose wurden vor und nach oraler Belastung mit 600 000 E Vitamin-A-palmitat bzw. wasserloslichem Vitamin A im Serum der Spiegel des Vitamin A (Retinol), des Retinol-bindenden Proteins (RBP) und Praealbumin bestimmt. In der Kontrolle steigt das Retinol nach Belastung signifikant an und erreicht nach 5 Std sein Maximum. Das RBP liegt im Mittel bei 42,25 mg/L, der Praealbuminspiegel bei 400 mg/L. Patienten mit Malabsorption und Lebercirrhose zeigen vor und nach Belastung mit Vitamin-A-palmitat einen gegenuber der Kontrolle verminderten Retinolspiegel. In der Gruppe der Maldigestion ist der Nuchternspiegel des Retinols…

Fruktose – Freund oder Feind?

2016

Die Aufnahme von Fruktose ist in vielen industrialisierten Landern weltweit in den letzten Jahrzehnten stark angestiegen. Dies resultiert u. a. aus einer zunehmenden Verwendung des reinen Monosaccharids oder des sog. „High Fructose Corn Syrup“ (HFCS, Maissirup oder auch Fruktose-Glukose-Sirup) als Susungsmittel. Neben Problemen fur Patienten mit einer angeborenen oder erworbenen Fruktosemalabsorption sowie der seltenen, genetisch bedingten hereditaren Fruktoseintoleranz, wird die vermehrte industrielle Verwendung und die damit einhergehende vermehrte Aufnahme von Fruktose uber die Nahrung als ein Risikofaktor in der Entstehung von Ubergewicht und damit assoziierten metabolischen Erkrankunge…

Assessment of the Nutritional Status, Diet and Intestinal Parasites in Hosted Saharawi Children.

2020

Since the early 1990s, Spanish humanitarian associations have welcomed Saharawi children from the refugee camps in Tindouf (Argelia). These children are the most affected by the lack of food, water, hygienic measures and health care. The main objective of this study was to analyze the anthropometric, nutritional and parasitological data of 38 Saharawi boys and girls (from 10 to 13 years old) under a holiday host program in the city of Valencia. Our results confirm that malnutrition and multiparasitism are highly frequent, so it is understood that living conditions in refugee camps continue to be precarious with a lack of proper hygiene and nutrition. Furthermore, biochemical alterations, la…

Glucose/galactose malabsorption caused by a defect in the Na+/glucose cotransporter.

1991

Glucose/galactose malabsorption (GGM) is an autosomal recessive disease manifesting within the first weeks of life and characterized by a selective failure to absorb dietary glucose and galactose from the intestine. The consequent severe diarrhoea and dehydration are usually fatal unless these sugars are eliminated from the diet. Intestinal biopsies of GGM patients have revealed a specific defect in Na(+)-dependent absorption of glucose in the brush border. Normal glucose absorption is mediated by the Na+/glucose cotransporter in the brush border membrane of the intestinal epithelium. Cellular influx is driven by the transmembrane Na+ electrochemical potential gradient; thereafter the sugar…

Growth charts of Down syndrome in Sicily: evaluation of 382 children 0-14 years of age.

2005

We present the results of a study performed on a Sicilian population of children with Down syndrome (DS) 0–14 years of age, observed between 1977 and 1988. Data from the present report concern 382 subjects with nonmosaic 21 trisomy, including 239 males (62.6%) and 143 females (37.4%). We excluded all DS children observed in the same period with associated pathology (congenital heart defects, gastrointestinal malformations, malabsorption, hypothyroidism, and thalassemia). Overall, 1,464 measurements were performed of length or height, weight, and head circumference. Means and standard deviation (SD) were calculated for all of these parameters. Our data confirm a trend toward a progressive im…