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[蛋白丢失性肠病]

[Protein-losing enteropathy].

作者信息

Parfenov A I, Krums L M

机构信息

Moscow Clinical Research and Practical Center, Moscow Healthcare Department, Moscow, Russia.

出版信息

Ter Arkh. 2017;89(2):4-9. doi: 10.17116/terarkh20178924-9.

Abstract

Protein-losing enteropathy (PLE) is a rare complication of intestinal diseases. Its main manifestation is hypoproteinemic edema. The diagnosis of PLE is based on the verification of protein loss into the intestinal lumen, by determining fecal α1-antitrypsin concentration and clearance. The localization of the affected colonic segment is clarified using radiologic and endoscopic techniques. The mainstay of treatment for PLE is a fat-free diet enriched with medium-chain triglycerides. Surgical resection of the affected segment of the colon may be the treatment of choice for severe hypoproteinemia resistant to drug therapy.

摘要

蛋白丢失性肠病(PLE)是肠道疾病的一种罕见并发症。其主要表现为低蛋白血症性水肿。PLE的诊断基于通过测定粪便α1-抗胰蛋白酶浓度和清除率来证实蛋白质丢失到肠腔。使用放射学和内镜技术明确受累结肠段的定位。PLE的主要治疗方法是富含中链甘油三酯的无脂饮食。对于药物治疗耐药的严重低蛋白血症,手术切除受累结肠段可能是首选治疗方法。

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