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Topic: Steatorrhea


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  Dietary therapy of steatorrhea.
The dietary treatment of steatorrhea requires knowledge of the cause of the disease associated with the steatorrhea.
Specific recommendations are made for the treatment of steatorrhea in cystic fibrosis of the child and adult, pancreatic insufficiency caused by chronic pancreatitis, gluten enteropathy, and the short-bowel syndrome.
Emphasis is placed on the fact that each patient must be managed by correlating the cause of the steatorrhea with specific modalities of therapy.
www.medscape.com /medline/abstract/2509353?src=emed_ckb_ref_0   (0 words)

  
  Diagnose-Me: Condition: Steatorrhea
Steatorrhea is not a really a condition but a symptom in which fecal matter is frothy, foul-smelling and floats because of a high fat content.
Steatorrhea is suspected when the patient has large, "greasy", and foul-smelling stools.
The dietary therapy of steatorrhea requires knowledge of the cause of the disease associated with the steatorrhea.
www.diagnose-me.com /cond/C634635.html   (2512 words)

  
 Symptoms of Steatorrhea - WrongDiagnosis.com
Note that Steatorrhea symptoms usually refers to various symptoms known to a patient, but the phrase Steatorrhea signs may refer to those signs only noticable by a doctor.
This signs and symptoms information for Steatorrhea has been gathered from various sources, may not be fully accurate, and may not be the full list of Steatorrhea signs or Steatorrhea symptoms.
Furthermore, signs and symptoms of Steatorrhea may vary on an individual basis for each patient.
www.wrongdiagnosis.com /s/steatorrhea/symptoms.htm   (616 words)

  
 Steatorrhea - WrongDiagnosis.com
The following medical conditions are some of the possible causes of Steatorrhea.
This information refers to the general prevalence and incidence of these diseases, not to how likely they are to be the actual cause of Steatorrhea.
See the analysis of the prevalence of 5 causes of Steatorrhea
www.wrongdiagnosis.com /sym/steatorrhea.htm   (598 words)

  
  Chapter 2 - Section 5: First Principles of Gastroenterology
In patients with steatorrhea, for example, luminal fatty acids are present and involved in the pathogenesis of diarrhea.
In some patients with steatorrhea, supplementation with medium-chain triglycerides may be useful because these are hydrolyzed more rapidly by pancreatic enzymes, do not require bile acid micelles for absorption, and are primarily directed to the portal rather than the lymphatic circulation.
Fat-soluble vitamins require bile acid micelles for absorption; thus, if steatorrhea is due to bile acid depletion (as might occur in the short bowel syndrome following surgical resection for extensive Crohn's disease), increased amounts of vitamins may be required.
gastroresource.com /GITextbook/en/Chapter2/2-5.htm   (1351 words)

  
  Steatorrhea - Wikipedia, the free encyclopedia
Steatorrhea (or steatorrhoea) is the formation of bulky, grey or light colored stools.
There is increased fat excretion, which can be objectivated by determining the fecal fat levels.
While definitions have not been standardised, fat excretion in faeces in excess of 0.3 (g/kg)/day is considered indicative of steatorrhea.
en.wikipedia.org /wiki/Steatorrhea   (106 words)

  
 THE MERCK MANUAL OF GERIATRICS, Ch. 111, Malabsorption
Steatorrhea, which is due to the malabsorption of fat, is suggested by foul-smelling, bulky stools that are difficult to flush.
If severe steatorrhea is accompanied by an abnormal d-xylose test result, mucosal disease is suggested and an endoscopic biopsy should be performed.
The most accurate test for determining steatorrhea is a quantitative fecal fat test, which measures fatty acids from exogenous and endogenous sources.
www.merck.com /mrkshared/mm_geriatrics/sec13/ch111.jsp   (2462 words)

  
 THE MERCK MANUAL, Sec. 3, Ch. 30, Malabsorption Syndromes
Steatorrhea may occur--pale, soft, bulky, malodorous stools that stick to the side of the toilet bowl or float and are difficult to flush away.
Steatorrhea is most likely to occur in celiac disease or tropical sprue.
Steatorrhea is absolute evidence of malabsorption but is not always present.
www.merck.com /mrkshared/mmanual/section3/chapter30/30a.jsp   (1308 words)

  
 The Analyst - Internet Health Report: Condition: Steatorrhea / Fat Malabsorption
Excessive excretion of fecal fat is called steatorrhea, a condition that is suspected when the patient has large, greasy, and foul-smelling stools.
Children with cystic fibrosis have mucous plugs that block the pancreatic ducts.
Steatorrhoea are bowel motions that are pale, loose, fatty, and offensive, caused by the lack of lipase with subsequent malabsorption of fat.
www.digitalnaturopath.com /cond/C700521.html   (761 words)

  
 Gastroenterology Grand Rounds
Many patients initially compensate for their poor absorption by increasing their intake (polyphagia); however, reduced intake in patients with chronic pain or continued alcoholism, steatorrhea, and uncontrolled diabetes eventually leads to weight loss(1).
Steatorrhea, however, does not occur until pancreatic lipase secretion is reduced to < 10% of normal.
Maldigestion and steatorrhea in chronic pancreatitis are treated with pancreatic enzyme replacements.
www.bcm.edu /gastro/DDC/grandrounds/BCM/8-5-04/09-DISC.HTM   (1123 words)

  
 Indian Pediatrics - Editorial
Steatorrhea due to developmental anomalies of pancreas is uncommon in children.
We here report an unusual case who presented with massive steatorrhea and was noted to have pancreatic lipomatosis secondary to isolated pancreatic acinar hypoplasia.
A 9-year-old boy presented with steatorrhea and failure to thrive since 1½ years of age.
www.indianpediatrics.net /nov2001/nov-1298-1300.htm   (824 words)

  
 Carrière F, et al. Does the Pancreas Really Produce Much More Lipase than Required for Fat Digestion? JOP. J ...
However, similar experiments performed by another group did not confirm these results and steatorrhea was not found to be corrected by the duodenal administration of 40% of the normal lipolytic activity [9].
Furthermore, the pancreatin used was administered in enteric-coated minimicrospheres of a size (sieve fraction 0.7-1.6 mm) which seems to be optimum for mixing and emptying with the meal [16], so that inappropriate emptying of the enzymes relative to the meal is also unlikely to have intervened here.
Moreover, studies in which uncoated pancreatin was infused directly into the duodenum showed that steatorrhea was far from abolished in CP patients with PEI, even with an infusion rate of up to 40% of the normal pancreatic lipase secretion rate [9].
www.joplink.net /prev/200505/01.html   (4660 words)

  
 Gastroenterology Chapter 12 Pancreatic Functions
Although steatorrhea occurs in mucosal malabsorption, it is not as great as that encountered with pancreatic insufficiency.
The greatest use of this test may be in excluding pancreatic disease as a cause of diarrhea, steatorrhea, or weight loss.
It may be useful in patients with steatorrhea that is due to nonpancreatic causes.
www.gastroresource.com /GITextbook/en/chapter12/12-3-pr.htm   (1686 words)

  
 U.S. Pharmacist
They also noted that generally steatorrhea is more severe and occurs several years prior to malabsorption of other nutrients because synthesis and secretion of lipase are impaired more rapidly, its intraluminal survival is shorter, and the lack of pancreatic lipase activity is not compensated for by nonpancreatic mechanisms.
A similar study concluded that in CF patients with PEI, the greater therapeutic efficacy of pH-sensitive enteric-coated preparations over conventional preparations may be related to the protection of pancreatic enzymes from the highly acidic milieu in the duodenum, allowing for possible bioavailability in the distal small intestine.
Steatorrhea was assessed via three-day fecal fat analysis, dosage of medication, and stool frequency and consistency.
www.uspharmacist.com /index.asp?page=ce/2659/default.htm   (5750 words)

  
 Steatorrhea - The Doctors Lounge(TM)
Steatorrhea is the passage of fat > 6 g/24 hr stools.
The 1st step after proving steatorrhea is to differentiate between absorptive abnormality and digestive abnormality.
D-xylose is a sugar that does not need to be digested (but needs to be absorbed to appear in urine).
www.thedoctorslounge.net /gastroenterology/diagnosis/steatorrhea/index.htm   (127 words)

  
 ShowReference
To evaluate this hypothesis, we examined fecal weight, fecal fat excretion, and fecal fat concentration in 19 patients with steatorrhea due to pancreatic insufficiency and in 31 patients whose steatorrhea was due to various gastrointestinal diseases.
There was no consistent difference in the severity of steatorrhea or diarrhea between the two groups of patients.
Fecal fat concentration may be a useful clue in distinguishing pancreatic steatorrhea from steatorrhea due to gastrointestinal disease.
www.uwgi.org /Guidelines/ShowReference.aspx?RefID=242   (116 words)

  
 Endotext.com - Somatostatinoma
Diarrhea consisting of 3 to 10 frequently foul-smelling stools per day and/or steatorrhea from 20 to 76 g of fat per 24 hours is common in patients with pancreatic somatostatinoma.
In some cases, the severity of diarrhea and steatorrhea parallels the course of the disease, worsening as the tumor advances and metastatic disease spreads, and improving after tumor resection.
The rarity of diarrhea and/or steatorrhea in patients with intestinal somatostatinomas may result from the lower SLI levels.
www.endotext.org /guthormones/guthormone8/guthormone8.htm   (1978 words)

  
 How Nutrient Deficiencies Contribute to Symptoms in GD
As a result many patients with GD experience what are known as "malabsorption syndromes." Symptoms associated with malabsorption include excess defecation (increase in number of bowel movements) along with fatty stools (steatorrhea).
Patients with steatorrhea typically have pale bulky stools that rise to the top of the water in the toilet bowl.
Steatorrhea may also be seen in patients with gluten sensitivity, a disorder that often accompanies Graves’ disease.
www.suite101.com /article.cfm/9630/58125   (493 words)

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