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[Intestinal malabsorption in the child].

C Talbotec1, J Schmitz

  • 1Service de gastro-entérologie et de nutrition pédiatriques Hôpital Necker-Enfants malades 75743 Paris.

La Revue Du Praticien
|July 19, 2001
PubMed
Summary

Pediatric intestinal malabsorption presents as chronic diarrhea or poor growth. Diagnosis relies on clinical evaluation and simple tests, moving beyond traditional stool examinations for various causes.

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Area of Science:

  • Pediatrics
  • Gastroenterology
  • Clinical Diagnostics

Context:

  • Intestinal malabsorption in children often presents with chronic diarrhea, poor growth, and weight gain deficiency.
  • The diverse etiologies necessitate a systematic diagnostic approach.
  • Historically, stool examination was pivotal in identifying malabsorption mechanisms.

Purpose:

  • To outline the diagnostic approach for pediatric intestinal malabsorption.
  • To highlight the shift from traditional stool examinations to simpler diagnostic methods.
  • To emphasize the importance of clinical history and examination in guiding investigations.

Summary:

  • Diagnosis of pediatric intestinal malabsorption hinges on thorough history-taking and clinical assessment.
  • Common causes include impaired digestion (exocrine pancreatic insufficiency), malabsorption (e.g., cow's milk protein or gluten intolerance), and fermentation (lactose or sugar intolerance).
  • Current diagnostic strategies increasingly utilize simpler, non-invasive examinations over extensive stool analysis.

Impact:

  • Facilitates earlier and more accurate diagnosis of pediatric intestinal malabsorption.
  • Improves patient outcomes by enabling timely and targeted therapeutic interventions.
  • Streamlines the diagnostic pathway, potentially reducing healthcare costs and patient burden.

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