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Topic: Steatorrhoea

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	Prescriber
		Steatorrhoea (fat malabsorption) and azotorrhoea (protein malabsorption) occur only when there is a 90 per cent reduction in the output of lipase and trypsin.
		To abolish steatorrhoea, a minimum of 28 000 units of lipase must be taken with each meal if gastric and duodenal pH is greater than 4.
		Some patients with steatorrhoea on standard pancreatin therapy may benefit from adjuvant therapy with H2-antagonists or proton pump inhibitors.4 In certain circumstances, alteration of the dosage schedule to two standard pancreatin tablets hourly can be effective.
	www.escriber.com /Prescriber/Features.asp?Action=View&ID=59&GroupID=8&Page=11 (1453 words)

	Med-Lib - Medical Online Library - English Articles - Oxford Textbook of Surgery - Malabsorption syndromes
		Whatever the cause of cholestasis, malabsorption is caused by bile salt insufficiency, and patients therefore develop steatorrhoea and the accompanying malabsorption of the fat soluble vitamins (A, D, K).
		Although patients with coeliac disease may still present with the classical clinical picture of weight loss, anorexia, steatorrhoea, and the signs of nutritional deficiency, the majority of patients are now diagnosed at a much earlier stage: unexplained iron deficiency anaemia or the symptoms of an irritable bowel syndrome are the most frequent presenting features.
		Patients with continuing steatorrhoea, including those with prolonged cholestasis, extensive mucosal atrophy of the small bowel, and those with a short bowel syndrome, will suffer from malabsorption of vitamins A, D, and K. Monthly intramuscular injections of these fat soluble vitamins may be needed (e.g.
	med-lib.ru /english/oxford/malabs_syndr.shtml (3817 words)

	steatorrhoea - General Practice Notebook (Site not responding. Last check: 2007-09-21)
		Steatorrhoea is an excess of fat in faeces.
		The stool may float due to trapped air.
		The fat excretion occurring in steatorrhoea due to pancreatic insufficiency is typically greater than 35 g per day.
	www.gpnotebook.co.uk /static/-1167392766.htm (168 words)

	Content
		Steatorrhoea - malabsorption of fat - is discussed on page 286.
		Increased oxalate absorption is caused by the presence of bile salts in the colon.
		Diarrhoea, rarely with steatorrhoea, occurs in thyrotoxicosis owing to increased gastric emptying and increased motility.
	www.kumarandclark.com /content/bookcontent.cfm?ID=HC006223#P0291 (3048 words)

	Med-Lib - Medical Online Library - English Articles - Oxford Textbook of Surgery - Chronic pancreatitis
		Pancreatic extracts are used to treat steatorrhoea and probably reduce pain by providing intraluminal trypsin which blocks release of cholecystokinin from the duodenal mucosa.
		In practice steatorrhoea may be difficult to abolish as gastric acid destroys up to 90 per cent of such enzyme activity by the time food reaches the distal duodenum.
		If steatorrhoea is still troublesome, alternative explanations (such as bacterial overgrowth in the small intestine or bile salt insufficiency) should be considered.
	med-lib.ru /english/oxford/chron_panc.shtml (6866 words)

	NationMaster - Encyclopedia: Steatorrhea
		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.
		Short bowel syndrome is a malabsorption disorder caused by either the surgical removal of the small intestine or the loss of its absorptive function due to diseases.
	www.nationmaster.com /encyclopedia/Steatorrhea (502 words)

	liverkids.org.au - Nutrition and the Liver
		Cholestasis is an inability of the liver to excrete bile.
		This may result in steatorrhoea (fat malabsorption due to inadequate amounts of bile which dissolve fat in the intestines).
		Steatorrhoea may go unnoticed by the patient or can be associated with weight loss due to lost calories.
	www.kinsey.id.au /liverkids/index.php?option=com_content&task=view&id=23&Itemid=37 (1593 words)

	Steatorrhoea
		Steatorrhoea is a condition characterised by an increase in fat content in stools leading to the production of pale, bulky, offensive and loose stools.
		Along with anaemia, steatorrhoea is one of the primary clinical features of malabsorption syndromes such as coeliac disease.
		Imaging such as Upper gastrointestinal endoscopy and biopsy, Barium studies and Wireless capsule enteroscopy can help identify abnormalities in the intestinal tract that may be the cause of the malabsorption.
	www.virtualcancercentre.com /symptoms.asp?sid=48 (868 words)

	Chapter 12 (Site not responding. Last check: 2007-09-21)
		To distinguish whether prolonged prothrombin time is due to liver dysfunction or steatorrhoea, repeat test after 2 days of vitamin K intramuscularly (or intravenously but not, of course, orally) which in the case of malabsorption should restore the prothrombin time to normal.
		But I emphasise the importance of first establishing that the patient truly does have steatorrhoea before designating these general clinical features to it, because they all could be secondary to a reduced intake of food, as occurs for example in starvation, self-induced vomiting, anorexia nervosa (psychogenic anorexia).
		Secondly, the abdomen is relatively accessible to examination of its anatomy, for example an enlarged liver, distended, palpable gall bladder, pseudo cyst of the pancreas, palpable loops of (oedematous) bowel (in chronic inflammatory bowel disease).
	www.healthsci.utas.edu.au /medicine/teaching/boyd/book/ch12.html (8401 words)

	Chapter 12
		To distinguish whether prolonged prothrombin time is due to liver dysfunction or steatorrhoea, repeat test after 2 days of vitamin K intramuscularly (or intravenously but not, of course, orally) which in the case of malabsorption should restore the prothrombin time to normal.
		But I emphasise the importance of first establishing that the patient truly does have steatorrhoea before designating these general clinical features to it, because they all could be secondary to a reduced intake of food, as occurs for example in starvation, self-induced vomiting, anorexia nervosa (psychogenic anorexia).
		Secondly, the abdomen is relatively accessible to examination of its anatomy, for example an enlarged liver, distended, palpable gall bladder, pseudo cyst of the pancreas, palpable loops of (oedematous) bowel (in chronic inflammatory bowel disease).
	www.medicine.utas.edu.au /teaching/boyd/book/ch12.html (8401 words)

	Chronic calcific pancreatitis (C.C.P.) in western Maharashtra (experience of 55 cases). Pipalia DH, Naik SR, Ratnam VJ, ...
		Steatorrhoea: Eight of 23 patients had steatorrhoea ranging from 6.3 to 17.0 g/day.
		Fat balance studies revealed steatorrhoea (6.3 to 17.0 g/day) in one third of patients (8 of 23) studied, which is comparable to frequency of steatorrhoea in French patients (17/48)[11] and in Dublin series (32%).
		Notably, only two of eight had symptoms of diarrhoea suggesting that chronic subclinical steatorrhoea is common and may contribute to these patients' poor nutrition.
	www.jpgmonline.com /article.asp?issn=0022-3859;year=1987;volume=33;issue=4;spage=201;epage=5;aulast=Pipalia (1899 words)

	STEATORRHOEA
		Non-English Usage: "STEATORRHOEA" is also a word in the following language with the English translation in parentheses.
		"STEATORRHOEA" is generally used as a noun (singular) -- approximately 100.00% of the time.
		"STEATORRHOEA" is used about 2 times out of a sample of 100 million words spoken or written in English.
	www.websters-online-dictionary.org /definition/english/St/Steatorrhoea.html (239 words)

	Evaluation of a tubeless pancreatic function test in patients with steatorrhoea in a district general hospital -- Gould ...
		Evaluation of a tubeless pancreatic function test in patients with steatorrhoea in a district general hospital -- Gould et al.
		Evaluation of a tubeless pancreatic function test in patients with steatorrhoea in a district general hospital
		steatorrhoea and there were no false-positive results in these patients.
	www.jrsm.org /cgi/content/abstract/81/5/270 (257 words)

	Diagnostic Handbook (Site not responding. Last check: 2007-09-21)
		This is an unpleasant test for both patient and laboratory and should not be used as a screening test in patients with chronic diarrhoea or other non-specific gastrointestinal symptoms.
		Steatorrhoea should be suspected when stools are pale, loose, bulky and greasy.
		In this laboratory, the mean weight of normal 3-day faecal collects is 350g compared with a mean of 940g for those with steatorrhoea (>5g fat/day).
	www.dml.co.nz /hbook/5a784a9.htm (136 words)

	Review-2
		Overt steatorrhoea is seen in about a third of patients.
		The low frequency of steatorrhoea is attributed to the low fat content of the diet.
		When the fat content of the diet was experimentally increased, steatorrhoea was found to occur in over 90% of patients.
	ijod.uaeu.ac.ae /iss_0302/2.htm (3158 words)

	Pancreatic dysfunction and its association with fat malabsorption in HIV infected children.
		Steatorrhoea was significantly associated with reduced faecal pancreatic enzymes.
		Children with pathological faecal elastase 1 or chymotrypsin values did not differ from the other HIV infected children with respect to nutritional and immunological status, stage of HIV disease, presence of opportunistic infections, or drug administration.
		CONCLUSIONS: Abnormal pancreatic function tests are a frequent feature of paediatric HIV infection; this condition is associated with steatorrhoea, which probably contributes to the disease.
	www.aegis.com /aidsline/1999/mar/A9930825.html (530 words)

	Physiology And Pathophysiology text book/Hepato-pancreatic function and disorders - Pharmpedia (Site not responding. Last check: 2007-09-21)
		The bile acid production is reduced without the return of bile acids from the terminal ileum and steatorrhoea develops.
		Steatorrhoea is treated with low-fat diet and the enzyme, pancreatin, to each meal.
		The diabetic condition is frequently characterized by a simultaneous lack of pancreatic insulin and glucagon, whereby the daily, external insulin requirement is increased.
	www.pharmpedia.com /Physiology_And_Pathophysiology_text_book/Hepato-pancreatic_function_and_disorders (4884 words)

	PROVET HEALTHCARE INFORMATION - Steatorrhoea (Site not responding. Last check: 2007-09-21)
		Steatorrhoea is the presence of excessive fat in the faeces.
		Increased amounts of faecal fat give it a grey colour and a greasy appearance which will leave an oily spot on paper it comes into contact with.
		In one study steatorrhoea has been defined as fat excretion in faeces in excess of 0.3g/Kg/day.
	www.provet.co.uk /health/signs/steatorrhoea.htm (101 words)

	Good Housekeeping :: Steatorrhoea (Site not responding. Last check: 2007-09-21)
		Dr Sarah Jarvis works in general practice, is a GP trainer and a Fellow of The Royal College of GPs, and gives her advice on your medical problems
		Steatorrhoea is the medical term for stools that are high in fat.
		Steatorrhoea can be a feature of chronic pancreatitis (inflammation of the pancreas) and conditions such as coeliac disease, cystic fibrosis and malabsorption.
	www.goodhousekeeping.co.uk /index.php/v1/Steatorrhoea?theme=print (192 words)

	Pancreatitis - Chronic (Site not responding. Last check: 2007-09-21)
		Undigested fat from the diet may remain in the gut and be passed with faeces (stools).
		Apart from painkillers, other techniques to block the pain may be considered such as nerve blocks to the pancreas.
		Enzyme replacement medication - may be needed if the low level of enzymes causes poor digestion of food and steatorrhoea.
	www.tripdatabase.com /spider.html?itemid=254790 (1773 words)

	Steatorrhoea
		Steatorrhoea and pancreatic disease in HIV infected patients
		This causes pale, smelly, loose stools that are difficult to flush away (steatorrhoea).
		Since pancreatogenic steatorrhoea occurs when the exocrine pancreatic capacity is
	health.cancer-help.org /web/Steatorrhoea.html (371 words)

	BJS - Your gateway to the British Journal of Surgery Online (Site not responding. Last check: 2007-09-21)
		Diabetes mellitus (11 patients), steatorrhoea (six) or both (five) were associated with a mean estimate of 52, 66 and 67 per cent parenchymal necrosis respectively.
		Performance status worsened in four patients because of recurrent pancreatitis and severe steatorrhoea.
		Poor long-term performance was associated with a higher Acute Physiology And Chronic Health Evaluation II score on admission (mean 14 versus 9).NP has prominent effects on long-term pancreatic exocrine and endocrine function in half the patients, but most preserve a good overall functional status.
	www.bjssoc.com /bjsCda/cda/microJournalArticleDetail.do?DOI=10.1046%2Fj.1365-2168.1998.00950.x&issueDOI=10.1002%2Fbjs.v85%3A12&vid=2 (193 words)

	The incidence, pathogenesis and natural history of steatorrhoea after bone marrow transplantation (Site not responding. Last check: 2007-09-21)
		A small number of case reports of steatorrhoea after allogeneic BMT have been published, but the incidence and natural history of this complication have not been defined.
		Enzyme supplements were subsequently ceased in three patients without return of steatorrhoea, suggesting that the process is usually reversible.
		Our data demonstrate that steatorrhoea is not an infrequent complication in the 2 years postallograft, particularly in patients with GVHD.
	www.nature.com /cgi-taf/DynaPage.taf?file=/bmt/journal/v31/n8/abs/1703911a.html (294 words)

	INFLAMMATORY BOWEL DISEASE - diet (Site not responding. Last check: 2007-09-21)
		These individuals develop bowel actions containing fatty diarrhoea (steatorrhoea) which is pale in colour, smells offensive and may be difficult to flush away.
		Lactose is a natural carbohydrate found in milk which cannot be absorbed without digestion by the enzyme "lactase", which is usually found in the wall of the small bowel.
		A low fat diet may be recommended for Crohn's disease patients with fatty diarrhoea (steatorrhoea).
	www.nevdgp.org.au /geninf/gastro/patient_inf/c2_14.htm (2834 words)

	World J Gastroenterol (Site not responding. Last check: 2007-09-21)
		Of those investigated, 50% had s evere and 28% moderate steatorrhoea as compared with 20% and 14% respectively fo r the whole series.
		Absorption of vitamin D is dependent on fat solubility and the combination of steatorrhoea and reduced vitamin D intake may lead to vitamin D deficiency.
		In addition, i the presence of steatorrhoea, calcium absorption is further impaired by the formation of insoluble calcium soaps.
	www.wjgnet.com /1007-9327/6/45.asp (2724 words)

	Steatorrhoea - Karr.net (Site not responding. Last check: 2007-09-21)
		Stools may also float, have an oily appearance and are foul smelling.
		Looking For steatorrhoea - Find steatorrhoea and more at Lycos Search.
		Top steatorrhoea Sites - The best of the best sites for your steatorrhoea on the web.
	209.197.127.220 /encyclopedia/Steatorrhoea (194 words)

	Steatorrhoea - WrongDiagnosis.com
		Steatorrhoea: This is when there is excess fat in the faeces.
		The following medical conditions are some of the possible causes of Steatorrhoea.
		This information refers to the general prevalence and incidence of these diseases, not to how likely they are to be the actual cause of Steatorrhoea.
	www.wrongdiagnosis.com /sym/steatorrhoea_printer.htm (412 words)

	ICDDR,B: Publication, ICDDR,B Periodicals, Discussion
		Coeliac disease (gluten-induced enteropathy) is a chronic, probably hereditary, illness of unknown aetiology, occurring in both children and adults, and is manifested clinically by steatorrhoea and deficiencies produced by intestinal malabsorption.
		The metabolites of gluten are thought to trigger an immunological reaction that leads to the damage of enterocytes and finally to malabsorption (4).
		(13) examined biopsy specimens in 93 patients with IDA, in 23 patients with steatorrhoea, and in 37 patients with idiopathic diarrhoea histopathologically.
	www.icddrb.org /pub/publication.jsp?classificationID=30&pubID=2604 (782 words)

	Pancreatic Cancer UK :: pancreatic cancer - pancreatic enzyme replacement therapy
		This means that the patient isn't benefitting from all the food that is being eaten and may lose weight despite eating well and have symptoms caused by the lack of absorption of fat, protein, carbohydrates and vitamins.
		Apart from weight loss one of the most obvious symptoms of pancreatic insufficiency is steatorrhoea.
		The lack of digestion of fat causes steatorrhoea which is pale, greasy stools that can be foul smelling and float and be difficult to flush away.
	www.pancreaticcancer.org.uk /PCpancreaticenzymes.htm (1129 words)

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