Assessment of intestinal malabsorption

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• 作者：K. Nikaki ; Medical Degree ; MRCPCH (Clinical Research Fellow) ; G.L. Gupte ; MD (Paeds India) ; DNB (Paeds India) ; MRCPI ; ^{girish.gupte@bch.nhs.uk" class="auth_mail" title="E-mail the corresponding author} (Consultant Paediatric Hepatologist)
• 关键词：Intestinal malabsorption ; Small bowel malabsorption ; Carbohydrate malabsorption ; Small bowel bacterial overgrowth ; Fat malabsorption ; Protein losing enteropathy ; Plasma citrulline level
• 刊名：Best Practice & Research Clinical Gastroenterology
• 出版年：2016
• 出版时间：April 2016
• 年：2016
• 卷：30
• 期：2
• 页码：225-235
• 全文大小：282 K

文摘

Significant efforts have been made in the last decade to either standardize the available tests for intestinal malabsorption or to develop new, more simple and reliable techniques. The quest is still on and, unfortunately, clinical practice has not dramatically changed. The investigation of intestinal malabsorption is directed by the patient's history and baseline tests. Endoscopy and small bowel biopsies play a major role although non-invasive tests are favored and often performed early on the diagnostic algorithm, especially in paediatric and fragile elderly patients. The current clinically available methods and research tools are summarized in this review article.