Malabsorption und Malnutrition bei entzündlichen Darmerkrankungen

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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