Nikaki K, Gupte G L
Paediatric Liver Unit (including Small Bowel Transplantation), Birmingham Children's Hospital NHS Foundation Trust, Steelhouse Lane, Birmingham, B4 6NH, UK.
Paediatric Liver Unit (including Small Bowel Transplantation), Birmingham Children's Hospital NHS Foundation Trust, Steelhouse Lane, Birmingham, B4 6NH, UK.
Best Pract Res Clin Gastroenterol. 2016 Apr;30(2):225-35. doi: 10.1016/j.bpg.2016.03.003. Epub 2016 Mar 8.
Significant efforts have been made in the last decade to either standardize the available tests for intestinal malabsorption or to develop new, more simple and reliable techniques. The quest is still on and, unfortunately, clinical practice has not dramatically changed. The investigation of intestinal malabsorption is directed by the patient's history and baseline tests. Endoscopy and small bowel biopsies play a major role although non-invasive tests are favored and often performed early on the diagnostic algorithm, especially in paediatric and fragile elderly patients. The current clinically available methods and research tools are summarized in this review article.
在过去十年中，人们付出了巨大努力来规范现有的肠道吸收不良检测方法，或开发新的、更简单可靠的技术。探索仍在继续，不幸的是，临床实践并没有发生显著变化。肠道吸收不良的调查由患者病史和基线检查指导。内镜检查和小肠活检起着主要作用，尽管非侵入性检查更受青睐，并且在诊断流程中通常较早进行，尤其是在儿科和体弱的老年患者中。本文综述了目前临床上可用的方法和研究工具。
