Exudative gastroenteropathy

In medicine, exudative gastroenteropathy is a disease of the gastrointestinal tract that is associated with a loss of protein via the gastric and / or intestinal mucosa . Exudative gastroenteropathy is not an independent disease, but is triggered by various underlying diseases. Pathogenetically , lymphatic congestion is the trigger. A typical consequence is a lack of blood proteins (serum proteins), especially albumin and globulins (except IgE ).

The clinical picture is characterized by edema and malabsorption syndrome with diarrhea and weight loss.

causes

Possible causes of exudative gastroenteropathy are:

• Celiac disease
• Crohn's disease
• Ulcerative colitis
• bacterial overgrowth
• Whipple's disease
• Parasites in the gastrointestinal tract
• Intestinal sarcoid
• Intestinal tuberculosis
• Ménétrier syndrome
• eosinophilic gastroenteritis
• Graft-versus-Host Response
• systemic lupus erythematosus
• collagenous colitis
• Carcinoid Syndrome
• Gastrointestinal lymphoma
• Kaposi's sarcoma
• lymphoenteric fistulas
• constructive pericarditis
• Lymphogranulomatosis
• Lymphangiectasia enteralis familiaris

treatment

Treatment takes place by eliminating the underlying disease. A protein-rich, low-sodium diet is given symptomatically .

literature

• Peter Layer, Ulrich Rosien (editor): Practical gastroenterology . Elsevier, Urban & FischerVerlag, 3rd edition 2008, ISBN 9783437233715 , pp. 231–232.