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  • Format: ePub

What is Malabsorption syndrome?
Malabsorption syndrome is a disease resulting from impaired intestinal absorption of nutrients.
What are the causes of Malabsorption syndrome?
Malabsorption syndrome is usually caused by the following:
A. Intraluminal defects
1. Pancreatic enzymes or bile salt deficiencies
2. Gastric or intestinal resection as a result of cancer or obstruction
3. Bacterial overgrowth in the intestine resulting in less nutrient absorption
4. Acid hypersecretion (Zollinger-Ellison) syndrome
B. Intestinal Mucosal Defects
1. Tropical or non tropical
…mehr

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Produktbeschreibung
What is Malabsorption syndrome?

Malabsorption syndrome is a disease resulting from impaired intestinal absorption of nutrients.

What are the causes of Malabsorption syndrome?

Malabsorption syndrome is usually caused by the following:

A. Intraluminal defects

1. Pancreatic enzymes or bile salt deficiencies

2. Gastric or intestinal resection as a result of cancer or obstruction

3. Bacterial overgrowth in the intestine resulting in less nutrient absorption

4. Acid hypersecretion (Zollinger-Ellison) syndrome

B. Intestinal Mucosal Defects

1. Tropical or non tropical sprue characterized by abnormalities of the intestinal villi resulting in poor absorption of food

2. Parasitic disease of the intestinal such as tape-worms which feeds through the mucosa of the intestine

3. Tuberculosis of the intestine can cause damage to inner lining of intestine impeding absorption of food

4. Chemotherapy, drug abuse, radiation can damage the mucosa of the intestines

C. Intestinal lymphatic abnormalities

1. Lymphanigiectasia

2. Congestive heart failure

3. Constrictive pericarditis

What are the symptoms of Malabsorption syndrome?

A person who has Malabsorption syndrome has the following symptoms:

1. Weight loss

2. Anorexia or loss of appetite

3. Abdominal distension and bloating

4. Muscle wasting

5. Steatorrhea (pale bulky frothy stools) usually frequent

Signs:

1. Vitamin deficiency especially vitamin B12 and K and folic acid

2. Mineral deficiencies and anemia

How is the Diagnosis of Malabsorption syndrome made?

Diagnosis can usually be made by:

1. History of weight loss

2. Steatorrhea - measurement of fecal fat is low

3. D-xylose test is abnormal indicating poor carbohydrate absorption

4. Pancreatic function tests by duodenal aspiration

5. Tests for bacterial overgrowth such as:

a. bile acid breath test

b. jejunal cultures

c. urinary tryptophan metabolites

6. Intestinal biopsy

What is the treatment of Malabsorption syndrome?

Treatment depends on the cause:

Non-medicinal:

1. Intravenous fluids, electrolytes, minerals, vitamins

2. Intravenous nutrients and feeding

3. Gluten free diet

4. Restriction of dietary fat

5. Medium chain triglycerides

6. Lactose free diet

Medicinal:

1. Symptomatic treatment of abdominal pain (anticholinrgics) and diarrhea (Imodium)

2. Pancreatic enzymes for pancreatic deficiency

3. Folic acid, vitamins and minerals replacements

4. Antibiotics and antiparasitics for intestinal infections

What is the prognosis of Malabsorption syndrome?

Prognosis depends on the underlying cause.

Most patients usually recover if appropriately treated

Recurrence is quite common.

What are the preventive measures for Malabsorption syndrome?

Avoid Chemotherapy and drugs which affect the mucosa of the intestine

Avoid food in the tropics

Avoid gastritis or excessive acid in the stomach

TABLE OF CONTENT

Chapter 1 Malabsorption

Chapter 2 Celiac Disease

Chapter 3 Crohn's Disease

Chapter 4 Giardiasis

Chapter 5 Pancreatic Cancer

Chapter 6 , Tropical Sprue


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Autorenporträt
Dr. Kenneth Kee is a well-known medical doctor from Singapore who has been practicing medicine since 1972.
He graduated from the University of Singapore and furthered his studies with a Master of Science in Health Management in 1991, followed by a Ph.D. in Healthcare Administration in 1993.
Dr. Kee established Kee Clinic in 1974, located in the Holland Drive area of Singapore. The clinic has been a prominent feature of the community, offering general medical services for 5 decades.
Dr Kee also served his country Singapore as a national service police Inspector at night from 1975 to 1985 while working at his clinic during the day.
He had served as a police guard to the Woodland Petroleum Tanks at night during the Indonesian Confrontation period, took part in police rounds at night in the Beach Road area and taught First aid and emergency resuscitation to Police recruits.
He received the Singapore Police Bicentennial 2020 Medallion on 1st March 2024 as recognition for his work in the Singapore Police.
Even as he grew older, Dr. Kee continued to work actively in his clinic, although he eventually reduced his consultation hours.
Beyond his medical career, Dr. Kee is also an author.
He started writing about medical conditions in 2007, using blogs and other online platforms to share his knowledge with a broader audience.
Over time, he published various books, many of which provide simple and accessible guides to different health conditions.
His works include "A Family Doctor's Tale," "My Personal Singapore History," and numerous medical guides, available through platforms like Amazon.
His books often combine his personal experiences as a family doctor with insights into Singapore's healthcare system and history.
Dr. Kee has written extensively on health topics, contributing to both medical literature and general knowledge resources.

Dr. Kenneth Kee has written numerous books, primarily focused on health education and personal experiences as a family doctor. Some of his notable titles include:
"A Family Doctor's Tale"
This book is a blend of Dr. Kee's personal experiences and his reflections on being a family doctor in Singapore. It's a great choice if you're looking for a narrative that combines both medical knowledge and human stories.
"Specialized Medical Conditions"
Books like **"Congestive Heart Failure: Diagnosis and Treatment"** focus on specific conditions, offering in-dept...