Malabsorption - Causes

Causes

Due to infective agents
  • Whipple's disease
  • Intestinal tuberculosis
  • HIV related malabsorption
  • Tropical sprue
  • traveller's diarrhoea
  • Parasites e.g. Giardia lamblia, fish tape worm (B12 malabsorption); roundworm, hookworm (Ancylostoma duodenale and Necator americanus)
Due to structural defects
  • Blind loops
  • Inflammatory bowel diseases commonly in Crohn's Disease
  • Fistulae, diverticulae and strictures
  • Infiltrative conditions such as amyloidosis, lymphoma, Eosinophilic gastroenteritis
  • Radiation enteritis
  • Systemic sclerosis and collagen vascular diseases
  • Short bowel syndrome
Due to surgical structural changes
  • Gastrectomy; Vagotomy
  • Bariatric surgery (Weight loss surgery)
Due to mucosal abnormality
  • Coeliac disease
  • Cows' milk intolerance
  • Soya milk intolerance
  • Fructose malabsorption
Due to enzyme deficiencies
  • Lactase deficiency inducing lactose intolerance (constitutional, secondary or rarely congenital)
  • Sucrose intolerance
  • Intestinal disaccharidase deficiency
  • Intestinal enteropeptidase deficiency
Due to digestive failure
  • Pancreatic insufficiencies:
    • cystic fibrosis
    • chronic pancreatitis
    • carcinoma of pancreas
    • Zollinger-Ellison syndrome
  • Bile salt malabsorption
    • terminal ileal disease
    • obstructive jaundice
    • bacterial overgrowth
    • primary bile acid diarrhea
Due to other systemic diseases affecting GI tract
  • Coeliac disease
  • Hypothyroidism and hyperthyroidism
  • Addison's disease
  • Diabetes mellitus
  • Hyperparathyroidism and Hypoparathyroidism
  • Carcinoid syndrome
  • Malnutrition
  • Fiber Deficiency
  • Abeta-lipoproteinaemia

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