Čes-slov Pediat 2024, 79(4):226-232 | DOI: 10.55095/CSPediatrie2024/037
Malabsorption syndromes
- 1 Pediatrická klinika, Fakultní nemocnice Brno
- 2 Lékařská fakulta, Masarykova univerzita, Brno
- 3 RECETOX, Přírodovědecká fakulta, Masarykova univerzita, Brno
Malabsorption syndromes represent a large group of diseases characterized by impaired intraluminal digestion or nutrient absorption and typically manifest as
diarrhea, steatorrhea, bloating and/or failure to thrive. Some diseases may be accompanied by specific symptoms such as oedema, digital clubbing and perianal exanthema. This article aims to classify malabsorption syndromes based on recent findings and summarize their etiology, etiopathogenesis and clinical manifestation. We review current diagnostic and therapeutic approaches.
In accordance with the section in which the text will be published, frequent nosological entities will be discussed. Rarer diseases (such as malabsorption due to graft versus host disease) will be mentioned briefly, we direct readers to relevant and detailed sources.
Keywords: malabsorption syndrome, chronic cholestasis, exocrine pancreatic insufficiency, celiac disease, protein-losing enteropathy, lactase deficiency, short bowel syndrome, small intestinal bacterial overgrowth.
Accepted: May 31, 2024; Published: August 1, 2024 Show citation
References
- Kliegman R, Geme J. Nelson Textbook of Pediatrics E-Book. 21st Edition. Elsevier - OHCE 2019.
- Montalto M, Santoro L, et al. Classification of malabsorption syndromes. Dig Dis 2008; 26(2): 104-111.
Go to original source...
Go to PubMed...
- Montoro-Huguet MA, Belloc B, Domínguez-Cajal M. Small and large intestine (I): malabsorption of nutrients. Nutrients 2021; 13(4).
Go to original source...
Go to PubMed...
- Nevoral J, et al. Praktická pediatrická gastroenterologie, hepatologie a výživa. Praha: Mladá fronta 2013.
- Taylor CJ, Chen K, Horvath K, et al. ESPGHAN and NASPGHAN report on the assessment of exocrine pancreatic function and pancreatitis in children. J Pediatr Gastroenterol Nutr 2015; 61(1): 144-153.
Go to original source...
Go to PubMed...
- Češka R, et al. Interna. 3., aktualizované vydání. Triton 2020.
- Walkowiak J, Lisowska A, Blaszczynski M. The changing face of the exocrine pancreas in cystic fibrosis: pancreatic sufficiency, pancreatitis and genotype. Eur J Gastroenterol Hepatol 2008; 20(3): 157.
Go to original source...
Go to PubMed...
- Husby S, Koletzko S, Korponay-Szabó I, et al. European Society Paediatric Gastroenterology, Hepatology and Nutrition Guidelines for Diagnosing Coeliac Disease 2020. J Pediatr Gastroenterol Nutr 2020; 70(1): 141.
Go to original source...
Go to PubMed...
- Frühauf P, Bronský J, Dědek P, et al. Celiakie - doporučený postup pro diagnostiku a terapii u dětí a dospívajících. Čes-slov Pediat 2016; 71(3): 175-183.
Go to original source...
- Karásková E, et al. Dětská gastroenterologie pro praxi. Maxdorf 2020.
- Oberhuber G, Granditsch G, Vogelsang H. The histopathology of coeliac disease: time for a standardized report scheme for pathologists. Eur J Gastroenterol Hepatol 1999; 11(10): 1185-1194.
Go to original source...
Go to PubMed...
- Nevoral J, Bronský J. Celiakie - doporučený postup pro diagnostiku a terapii u dětí a dospívajících. Doplněk k 1. vydání z roku 2016, upraveno dne 15. 1. 2021. Dostupné na: www.gastroped.cz/doporucene-postupy-a-stanoviska/.
- Nevoral J, Kotalová R, Bronský J. Onemocnění spojená s malabsorpcí. Čes-slov Pediat 2011; 66(4): 248-259.
- Braamskamp MJAM, Dolman KM, Tabbers MM. Protein-losing enteropathy in children. Eur J Pediatr 2010; 169(10): 1179-1185.
Go to original source...
Go to PubMed...
- Misselwitz B, Butter M, Verbeke K, et al. Update on lactose malabsorption and intolerance: pathogenesis, diagnosis and clinical management. Gut 2019; 68: 2080-2091.
Go to original source...
Go to PubMed...
- Jansson-Knodell CL, Krajicek EJ, Savaiano DA, et al. Lactose intolerance: a concise review to skim the surface. Mayo Clin Proc 2020; 95(7): 1499-1505.
Go to original source...
Go to PubMed...
- Raithel M, Weidenhiller M, Hagel AFK, et al. The malabsorption of commonly occurring mono and disaccharides. Dtsch Ärztebl Int 2013; 110(46): 775-782.
Go to original source...
Go to PubMed...
- Bláhová K, Fencl F, et al. Kazuistiky z pediatrie. 2., přepracované vydání. Maxdorf 2020.
- Duro D, Kamin D, Duggan C. Overview of pediatric short bowel syndrome. J Pediatr Gastroenterol Nutr 2008; 47: S33.
Go to original source...
Go to PubMed...
- Rosete BE, Wendel D, Horslen SP. Teduglutide for pediatric short bowel syndrome patients. Expert Rev Gastroenterol Hepatol 2021; 15(7): 727-733.
Go to original source...
Go to PubMed...
- Ramos Boluda E, Redecillas Ferreiro S, et al. Experience with teduglutide in pediatric short bowel syndrome: first real-life data. J Pediatr Gastroenterol Nutr 2020; 71(6): 734.
Go to original source...
Go to PubMed...
- Fencl F, Lebl J, Froněk J, et al. Selhání střeva u dětí: etiopatogeneze a terapie. Galén 2020.
- Groudan K, Gupta K, Chalhoub J, et al. Giardia lamblia diagnosed incidentally by duodenal biopsy. J Investig Med High Impact Case Rep 2021; 9.
Go to original source...
Go to PubMed...
- Skrzydło-Radomańska B, Cukrowska B. How to recognize and treat small intestinal bacterial overgrowth? J Clin Med 2022; 11(20): 6017.
Go to original source...
Go to PubMed...
- Avelar Rodriguez D, Ryan PM, Toro Monjaraz EM, et al. Small intestinal bacterial overgrowth in children: a state-of-the-art review. Front Pediatr 2019; 7: 363.
Go to original source...
Go to PubMed...
- Naymagon S, Naymagon L, Wong SY, et al. Acute graft-versus-host disease of the gut: considerations for the gastroenterologist. Nat Rev Gastroenterol Hepatol 2017; 14(12): 711-726.
Go to original source...
Go to PubMed...
This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.