Protein-losing enteropathy: Case illustrations and clinical review

Sarah B. Umar, John K. Dibaise

Research output: Contribution to journalArticle

95 Citations (Scopus)

Abstract

Protein-losing enteropathy (PLE) is a rare syndrome of gastrointestinal protein loss that may complicate a variety of diseases. The primary causes can be divided into erosive gastrointestinal disorders, nonerosive gastrointestinal disorders, and disorders involving increased central venous pressure or mesenteric lymphatic obstruction. The diagnosis of PLE should be considered in patients with hypoproteinemia after other causes, such as malnutrition, proteinuria, and impaired protein synthesis due to cirrhosis, have been excluded. The diagnosis of PLE is most commonly based on the determination of fecal α-1 antitrypsin clearance. Treatment of PLE targets the underlying disease but also includes dietary modification, supportive care, and maintenance of nutritional status. In this article, cases illustrating a variety of clinical presentations and etiologies of PLE are presented, and its diagnostic approach and treatment are reviewed.

Original languageEnglish (US)
Pages (from-to)43-49
Number of pages7
JournalAmerican Journal of Gastroenterology
Volume105
Issue number1
DOIs
StatePublished - Jan 2010

Fingerprint

Protein-Losing Enteropathies
Hypoproteinemia
Diet Therapy
Central Venous Pressure
Nutritional Status
Proteinuria
Malnutrition
Proteins
Fibrosis
Maintenance
Therapeutics

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Protein-losing enteropathy : Case illustrations and clinical review. / Umar, Sarah B.; Dibaise, John K.

In: American Journal of Gastroenterology, Vol. 105, No. 1, 01.2010, p. 43-49.

Research output: Contribution to journalArticle

Umar, Sarah B. ; Dibaise, John K. / Protein-losing enteropathy : Case illustrations and clinical review. In: American Journal of Gastroenterology. 2010 ; Vol. 105, No. 1. pp. 43-49.
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