Document Detail


Bacterial contamination of the small intestine is an important cause of occult malabsorption in the elderly.
MedLine Citation:
PMID:  6412829     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A study was conducted to examine the contribution that occult malabsorption makes to malnutrition among elderly patients admitted to an acute geriatric ward. Malnutrition was defined by anthropometric, haematological, and biochemical measurements. Out of 490 patients, 55--many of whom had presented with non-gastrointestinal symptoms--were found to be malnourished. In 31 poor diet alone was probably the cause, but in the remaining 24 patients previously unrecognised malabsorption was detected. Of these patients, 17 were found to have bacterial contamination of the small bowel (nine with duodenojejunal diverticula, four after gastric surgery, and four diagnosed as contamination with "no sump"). In 10 patients contamination was confirmed by culture of intestinal juice: Escherichia coli was predominant in nine cases, and anaerobic organisms in one. Small bowel bacterial overgrowth without a "blind loop" or obvious underlying cause has not previously been fully proved in the elderly. Coeliac disease was detected in two patients, and chronic pancreatitis in two. Occult malabsorption is an important cause of malnutrition in the elderly. Such malnutrition not infrequently occurs in geriatric patients presenting to hospital with non-specific symptoms of physical deterioration.
Authors:
A McEvoy; J Dutton; O F James
Related Documents :
16565819 - Symptom patterns and relative distribution of functional bowel disorders in 1,023 gastr...
9822319 - Abnormal expression of brush-border membrane transporters in the duodenal mucosa of two...
6791939 - Ileal dysfunction and bacterial overgrowth in patients with crohn's disease.
3369339 - Selection of elderly patients for barium enema examination with respect to significant ...
2307499 - Neuroticism in patients with irritable bowel syndrome.
1934789 - Diagnostic significance of apparent abnormal bowel activity on ga-67 scans in aids pati...
20026709 - Analysis of the masseter muscle in patients with systemic sclerosis: a study by magneti...
18221989 - Atherosclerosis in behçet's syndrome.
21406459 - Differential diagnosis between rheumatoid arthritis and psoriatic arthritis: the value ...
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  British medical journal (Clinical research ed.)     Volume:  287     ISSN:  0267-0623     ISO Abbreviation:  Br Med J (Clin Res Ed)     Publication Date:  1983 Sep 
Date Detail:
Created Date:  1983-11-23     Completed Date:  1983-11-23     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  8302911     Medline TA:  Br Med J (Clin Res Ed)     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  789-93     Citation Subset:  AIM; IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Aged
Bacterial Infections / complications*
Escherichia coli / isolation & purification
Humans
Intestine, Small / microbiology*
Klebsiella / isolation & purification
Malabsorption Syndromes / etiology*,  therapy
Nutrition Disorders / etiology
Prospective Studies
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Renal handling of calcium in hypoparathyroidism.
Next Document:  Dorsal column stimulation in multiple sclerosis: effects on bladder and long term findings.