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Viszeralchirurgie 2000; 35(1): 44-47
DOI: 10.1055/s-2000-11233
ORIGINALARBEIT
© Georg Thieme Verlag Stuttgart · New York

Malabsorption und Malnutrition bei entzündlichen Darmerkrankungen

E. F. Stange, J. Scheibner, G. Ball, K. Lange
  • Medizinische Klinik 1, Bereich Gastroenterologie/Hepatologie, Universitätsklinikum Lübeck
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Publication History

Publication Date:
31 December 2000 (online)

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Zusammenfassung

Malnutrition ist ein häufiges Problem bei entzündlichen Darmerkrankungen und auf verminderte Nahrungsaufnahme, Malabsorption, intestinale Verluste und eine gesteigerte Utilisation zurückzuführen. Eigentliche Resorptionsstörungen sind auf eine verminderte Resorptionsfläche, das Gallensäureverlustsyndrom oder auf eine bakterielle Fehlbesiedlung zurückzuführen. Die wichtigsten Probleme sind Gewichtsverlust, Hypoproteinämie und Anämie sowie die spezifischen Defizite von Eisen, Vitamin B12, Kalzium und Vitamin D sowie Zink.

Malabsorption and malnutrition in inflammatory bowel diseases.

Malnutrition is a common problem in inflammatory bowel diseases and is due to diminished enteral nutrition, malabsorption, intestinal losses as well as enhanced utilisation. Specific malabsorption may be secondary to a reduced resorptive surface area, bile acid losses and bacterial overgrowth. Major problems are weight loss, hypoproteinemia and anemia associated with deficiencies of iron, vitamin B12, calcium and vitamin D as well as zinc.

Schlüsselwörter:

Malnutrition - Malabsorption - M. Crohn - Colitis ulcerosa - Entzündliche Darmerkrankungen - Übersichtsarbeit

Key words:

Malnutrition - Malabsorption - Crohn's disease - Ulcerative colitis - Inflammatory bowel diseases - Review

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Prof. Dr. Eduard F. Stange

Medizinische Klinik IBereich Gastroenterologie/HepatologieUniversitätsklinikum Lübeck

Ratzeburger Allee 16023538 Lübeck

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