Malabsorption Syndrome Flashcards
Définition of malabsorption syndrome
State of abnormality in absorption of food nutrients across GIT which can involve single or multiple nutrients
The three faces of digestion and nutrient absorption in which abnormalities could lead to malabsorption
Intraluminal phase
mucosal phase
post absorptive phase
Common abnormalities happening in the intraluminal face
Pancreatic insufficiency in pancreatitis and pancreatic resection
hyper secretion of gastric juice in zollinger ellison syndrome
impaired bile acid synthesis and flow
Consequence of pancreatic insufficiency
Deficiency of pancreatic enzymes leading to malabsorption of lipids proteins and carbohydrates
Sequence of bile acid synthesis impairments
Malabsorption of fats
Disease leading to abnormalities of the mucosa with reduced surface area for absorption
Celiac sprue
Whipples disease
bacterial overgrowth
infections
chemotherapy
radiation therapy
Most common presentation of malabsorption syndrome
Diarrhea
weight loss
constipation
bloating
flatulence
In which two categories can you divide clinical features of malabsorption syndrome
Extra intestinal
intra-intestinal or
symptoms of intra-intestinal malabsorption
Diarrhea
flatulence
abdominal discomfort
steatorrhea
bloating
Terms of extra intestinal malabsorption
Weight loss
anemia
fatigue
pellagra
edema
What is the pathophysiology explanation behind flatulence and abdominal distention
Bacterial production of gas from carbohydrates in the colon