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European Consensus on Malabsorption-UEG & SIGE, LGA, SPG, SRGH, CGS, ESPCG, EAGEN, ESPEN, and ESPGHAN: Part 2: Screening, Special Populations, Nutritional Goals, Supportive Care, Primary Care Perspective
MV. Lenti, HF. Hammer, I. Tacheci, R. Burgos, S. Schneider, A. Foteini, A. Derovs, J. Keller, I. Broekaert, M. Arvanitakis, DL. Dumitrascu, O. Segarra-Cantón, Ž. Krznarić, J. Pokrotnieks, G. Nunes, J. Hammer, L. Pironi, M. Sonyi, CM. Sabo, J....
Jazyk angličtina Země Anglie, Velká Británie
Typ dokumentu konsensus - konference, časopisecké články
Grantová podpora
United European Gastroenterology
University of Pavia
NLK
Free Medical Journals
od 2013
PubMed Central
od 2013
Europe PubMed Central
od 2013
ProQuest Central
od 2021-02-01
Health & Medicine (ProQuest)
od 2021-02-01
Wiley-Blackwell Open Access Titles
od 2013
ROAD: Directory of Open Access Scholarly Resources
od 2013
PubMed
40088199
DOI
10.1002/ueg2.70011
Knihovny.cz E-zdroje
- MeSH
- celiakie diagnóza terapie MeSH
- dítě MeSH
- exokrinní pankreatická insuficience komplikace diagnóza terapie MeSH
- gastroenterologie * normy MeSH
- konsensus MeSH
- lidé MeSH
- malabsorpční syndromy * diagnóza terapie etiologie epidemiologie MeSH
- nutriční podpora * metody normy MeSH
- plošný screening * metody normy MeSH
- primární zdravotní péče normy MeSH
- směrnice pro lékařskou praxi jako téma MeSH
- společnosti lékařské MeSH
- Check Tag
- dítě MeSH
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- konsensus - konference MeSH
- Geografické názvy
- Evropa MeSH
Malabsorption is a complex and multifaceted condition characterised by the defective passage of nutrients into the blood and lymphatic streams. Several congenital or acquired disorders may cause either selective or global malabsorption in both children and adults, such as cystic fibrosis, exocrine pancreatic insufficiency (EPI), coeliac disease (CD) and other enteropathies, lactase deficiency, small intestinal bacterial overgrowth (SIBO), autoimmune atrophic gastritis, Crohn's disease, and gastric or small bowel resections. Early recognition of malabsorption is key for tailoring a proper diagnostic work-up for identifying the cause of malabsorption. Patient's medical and pharmacological history are essential for identifying risk factors. Several examinations like endoscopy with small intestinal biopsies, non-invasive functional tests, and radiologic imaging are useful in diagnosing malabsorption. Due to its high prevalence, CD should always be looked for in case of malabsorption with no other obvious explanations and in high-risk individuals. Nutritional support is key in management of patients with malabsorption; different options are available, including oral supplements, enteral or parenteral nutrition. In patients with short bowel syndrome, teduglutide proved effective in reducing the need for parenteral nutrition, thus improving the quality of life of these patients. Primary care physicians have a central role in early detection of malabsorption and should be involved into multidisciplinary teams for improving the overall management of these patients. In this European consensus, involving 10 scientific societies and several experts, we have dissected all the issues around malabsorption, including the definitions and diagnostic testing (Part 1), high-risk categories and special populations, nutritional assessment and management, and primary care perspective (Part 2).
1st Department of Internal Medicine Fondazione IRCCS San Matteo Pavia Italy
2nd Medical Department Emergency Clinical County Hospital Cluj Napoca Romania
CEMAD Fondazione Policlinico Universitario A Gemelli IRCCS Rome Italy
Department of Gastroenterology and Hepatology Medical University of Vienna Vienna Austria
Department of Hepatogastroenterology IKEM Prague Czech Republic
Department of Internal Diseases Rīga Stradiņš University Riga Latvia
Department of Internal Medicine and Medical Therapeutics University of Pavia Pavia Italy
Department of Medical and Surgical Sciences University of Bologna Bologna Italy
Department of Translational Medicine and Surgery Università Cattolica del Sacro Cuore Rome Italy
Faculty of Medicine University of Maribor Maribor Slovenia
Gastroenterology Department Hospital Garcia de Orta Almada Portugal
Israelitic Hospital Academic Hospital University of Hamburg Hamburg Germany
Laboratory of Health and Society School of Medicine University of Crete Heraklion Greece
Citace poskytuje Crossref.org
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- $a Lenti, Marco Vincenzo $u Department of Internal Medicine and Medical Therapeutics, University of Pavia, Pavia, Italy $u First Department of Internal Medicine, Fondazione IRCCS San Matteo, Pavia, Italy $1 https://orcid.org/0000000266544911
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