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Published on: November 27, 2016
Diarrhoea due to small bowel diseases.
Joseph A Murray1, Alberto Rubio-Tapia
1Division of Gastroenterology and Hepatology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA. Murray.joseph@mayo.edu
Small intestinal diseases, often overlooked, cause diarrhea and malabsorption. Conditions like celiac disease and environmental enteropathy damage the small bowel mucosa, requiring careful evaluation and management for better patient outcomes.
Area of Science:
- Gastroenterology
- Internal Medicine
- Pathology
Background:
- Small intestinal diseases are a frequent cause of diarrheal illness.
- Conditions such as celiac disease and environmental enteropathy impact the small bowel mucosa.
- Diarrhea and malabsorption are common consequences of these mucosal injuries.
Purpose of the Study:
- To highlight the significance of small intestinal mucosal diseases as a cause of diarrhea.
- To emphasize the need for systematic evaluation of these conditions.
- To underscore the importance of targeted management for related malnutrition and deficiencies.
Main Methods:
- Review of common and less common small intestinal mucosal diseases.
- Discussion of diagnostic challenges due to the inaccessibility of the small intestine.
- Emphasis on clinical features suggestive of small intestinal disease.
Main Results:
- Small intestinal mucosal diseases, including celiac disease and environmental enteropathy, affect a significant population.
- Malabsorption secondary to mucosal injury leads to malnutrition and nutrient deficiencies.
- Various immunodeficiency states and drug-associated enteropathies require specific therapies.
Conclusions:
- Small intestinal mucosal diseases are a critical, often underdiagnosed, cause of diarrhea.
- Systematic evaluation is essential for identifying and treating these conditions.
- Prompt diagnosis and targeted management are crucial for addressing malabsorption and associated complications.
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