慢性腹泻评估

最后审阅: 23 Jun 2024
最后更新: 28 Apr 2023

小结

鉴别诊断

常见

  • 溃疡性结肠炎
  • 显微镜下结肠炎(淋巴细胞性结肠炎和胶原性结肠炎)
  • 病毒、细菌、寄生虫、HIV 肠病
  • 肠易激综合征
  • 药物的影响
  • 粪便嵌塞
  • 乳糜泻
  • 克罗恩病
  • 胆盐吸收不良
  • 刷状缘酶缺乏(乳糖、果糖、蔗糖、异麦芽糖酶)
  • 小肠细菌过度生长
  • 胰腺功能不全
  • 酒精
  • 甲状腺功能亢进
  • 糖尿病
  • 放射性小肠炎{0}/{1}结肠炎
  • 嗜酸性肠炎
  • 慢性缺血性结肠炎
  • 旁路手术或切除
完整详情

不常见

  • 非甾体抗炎药所致肠病
  • 浸润性恶性肿瘤
  • 蛋白丢失性肠病
  • 移植物抗宿主病
  • 霍奇金淋巴瘤
  • 非霍奇金淋巴瘤
  • 热带性口炎性腹泻
  • 淋巴管扩张{0}/{1}淋巴管引流受损
  • 甲状旁腺功能减退
  • Addison 病
  • 胃泌素瘤
  • 类癌综合征
  • VIP{0}瘤
  • 无 β 脂蛋白血症
  • 肝病晚期
  • 普通变异型免疫缺陷病
  • 淀粉样变性
完整详情

撰稿人

作者

Simon Campbell, MB ChB(Hons), MRCP(UK), MD(Edin.)

Consultant Gastroenterologist

Honorary Senior Lecturer

University of Manchester

Manchester

UK

利益声明

SC declares that he has no competing interests.

Rahul Kalla, MBChB, MRCP

Consultant Gastroenterologist

Royal Infirmary Edinburgh

Little France Crescent

Edinburgh

UK

利益声明

RK is the author of a reference cited in this topic. RK declares that he has no competing interests.

鸣谢

Dr Simon Campbell and Dr Rahul Kalla would like to gratefully acknowledge Dr Abhishek Sharma, Dr Daniel Leffler, and Dr Ciaran Kelly, the previous contributors to this topic. AS has received honoraria for educational presentations, chairing educational sessions, or advisory work from Abbvie, Vifor Pharma, Almirall, Falk, and Warner Chilcott UK. DL and CK are the authors of a number of references cited in this topic.

同行评议者

John Kepros, MD

Director

Trauma Services

Assistant Professor

Michigan State University

Lansing

MI

利益声明

JK declares that he has no competing interests.

Julian R.F. Walters, MA, MB, FRCP

Professor of Gastroenterology

Imperial College London

Hammersmith Hospital

London

UK

利益声明

JRFW has been a member of advisory boards and has received fees for arranging an educational programme from GE Healthcare, the manufacturer of 75SeHCAT. He is a member of the Health Advisory Network for Coeliac UK.

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