Intestinal reticulosis as complication of idiopathic steatorrhoea
In general, small meals and a diet low in fat and high in protein and carbohydrates are recommended, especially in patients with steatorrhoea
Determine lean body mass if technology available-- deuterium, DEXA, bioelectrical impedance (BIA)--group level only Record anthropometric measurements--TSF, CAMA Dietary intake Assess dietary intake, especially energy and protein, quantitatively Determine use of vitamin/mineral supplements and complementary medicines Assess dietary restrictions and beliefs, texture of diet and other barriers to food intake, hydration Symptoms/ GI symptoms (nausea, vomiting, constipation, diarrhoea, side-effects steatorrhoea
, early satiety) Appetite and taste changes Presence of pain Mood change Functional Determine functional status and level of fatigue, using status and PG-SGA, Karnofsky Performance Scale or Eastern quality of Co-operative Oncology Group.
In the IDA group, 11 patients were diagnosed as coeliac disease, whereas only 2 patients in the steatorrhoea
group were found to have coeliac disease.
In patients with major malabsorption problems giving rise to anaemia, steatorrhoea
, hypoproteinaemia or vitamin B12 deficiency, resection of the affected segment with end-to-end anastomosis can be effective.
Rarely diarrhoea, steatorrhoea
and intestinal obstruction may occur.
Orlistat causes malabsorption of dietary fat through inhibiting pancreatic lipase but is not a practicable agent as it causes steatorrhoea
in doses required to make a meaningful difference.
17] In addition severe nutritional deficiencies including protein-calorie malnutrition, steatorrhoea
and micronutrient deficiencies make this operation less preferred by surgeons and patients alike.
Cholestyramine reduces cholerrhoeic diarrhoea but may worsen steatorrhoea
5%), weight loss (25%) while steatorrhoea
and fever was least common i.