Steatorrhea and weight loss in a 72-year-old man: Primary biliary cirrhosis? Celiac disease? Bacterial overgrowth? What else?

American Journal of Gastroenterology

Volumn 93, Issue 11, 1998, Pages 2226-2230

  Dibaise, John K ^a   Paustian, Frederick F ^a  

^a UNIVERSITY OF NEBRASKA MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

LACTULOSE; PROPRANOLOL; TETRACYCLINE; URSODEOXYCHOLIC ACID;

AGED; ARTICLE; BACTERIAL OVERGROWTH; CASE REPORT; CELIAC DISEASE; DISEASE ASSOCIATION; GASTROINTESTINAL INFECTION; GERIATRIC PATIENT; HUMAN; MALABSORPTION; MALE; PORTAL HYPERTENSION; PRIMARY BILIARY CIRRHOSIS; PRIORITY JOURNAL; STEATORRHEA; WEIGHT REDUCTION;

AGED; CELIAC DISEASE; HUMANS; INTESTINE, SMALL; LIVER CIRRHOSIS, BILIARY; MALE; WEIGHT LOSS;

EID: 0032451524     PISSN: 00029270     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0002-9270(98)00501-2     Document Type: Article

References (36)

1. Kaplan M.M. Primary biliary cirrhosis. N Engl J Med. 335:1996;570-580.
2. Hamlyn A.N., Sherlock S. The epidemiology of primary biliary cirrhosis A survey of mortality in England and Wales . Gut. 15:1974;473-479.
3. Quigley E.M.M., Zetterman R.K. Gastrointestinal complications of chronic liver disease. Rector W.G. Jr. Complications of chronic liver disease. 1992;317-338 Mosby Year Book, Chicago.
4. Beckett G.J., Dewhurst N., Finlayson N.D.C., et al. Weight loss in primary biliary cirrhosis. Gut. 21:1980;734-737.
5. Lanspa S.J., Chan A.T.H., Bell J.S., et al. Pathogenesis of steatorrhea in primary biliary cirrhosis. Hepatology. 5:1985;837-842.
6. Ros E., Garcia-Puges A., Reixach M., et al. Fat digestion and exocrine pancreatic function in primary biliary cirrhosis. Gastroenterology. 87:1984;180-187.
7. Morencos F.C., Castano G.D., Ramos L.M., et al. Small bowel bacterial overgrowth in patients with alcoholic cirrhosis. Dig Dis Sci. 40:1995;1252-1256.
8. Bode J.C., Bode C., Heidelbach R., et al. Jejunal microflora in patients with chronic alcohol abuse. Hepatogastroenterology. 31:1984;30-34.
9. Reilly J.A., Quigley E.M.M., Forst C.F., et al. Small intestinal transit in the portal hypertensive rat. Gastroenterology. 100:1991;670-674.
10. Galati J.S., Holdeman K.P., Bottjen P.L., et al. Gastric emptying and orocecal transit in portal hypertension and end-stage chronic liver disease. Liver Transpl Surg. 3:1997;34-38.
11. Chesta J., DeFilippi C., Defilippi C. Abnormalities in proximal small bowel motility in patients with cirrhosis. Hepatology. 17:1993;828-832.
12. Hendrickse M.T., Thululath P.J., Triger D.R. Natural history of autonomic neuropathy in chronic liver disease. Lancet. 339:1992;1462-1464.
13. Hellstrom P.M., Nilsson I., Svenberg T. Role of bile in regulation of gut motility. J Intern Med. 237:1995;395-402.
14. Pons L., Dray-Lefaix M.T., Braquet P., et al. Role of free radicals and platelet-activating factor in the genesis of intestinal disturbances induced by Escherichia coli endotoxins in the rat. Gastroenterology. 100:1991;946-953.
15. Quigley E.M.M. Gastrointestinal dysfunction in liver disease and portal hypertension Gut-liver interactions revisited . Dig Dis Sci. 41:1996;557-560.
16. Arora S., Kassarjian Z., Krasinski S.D., et al. Effect of age on tests of intestinal and hepatic function in healthy humans. Gastroenterology. 96:1989;1560.
17. Webster S.G.P., Leeming J.T. Assessment of small bowel function in the elderly using a modified xylose tolerance test. Gut. 16:1975;109.
18. McEvoy A., Dutton J., James O.F.W. Bacterial contamination of the small intestine is an important cause of occult malabsorption in the elderly. Br Med J. 287:1983;789-795.
19. Donald J.P., Kitchingmam G., Donald F., et al. The diagnosis of small bowel bacterial overgrowth in elderly patients. J Am Geriatr Soc. 40:1992;692-696.
20. Husebye E., Skar V., Hoverstad T., et al. Fasting hypochlorhydria with gram positive gastric flora is highly prevalent in healthy old people. Gut. 331:1992;1331-1337.
21. Martini G.A., Phear E.A., Rubener E., et al. The bacterial content of the small intestine in normal and cirrhotic patients Relation to methionine toxicity . Clin Sci. 16:1956;35-51.
22. Anuras S., Sutherland J. Jejunal manometry in healthy elderly subjects. Gastroenterology. 86:1984;A1016.
23. Vantrappen G., Janssens J., Hellemans J., et al. The interdigestive motor complex of normal subjects and patients with bacterial overgrowth of small intestine. J Clin Invest. 59:1977;1158-1166.
24. King C.E., Toskes P.P. Small intestinal bacterial overgrowth. Gastroenterology. 76:1979;1035-1055.
25. Broitman S.A., Bondy D.C., Yachnin I., et al. Absorption and disposition of D-xylose in thyrotoxicosis and myxedema. N Engl J Med. 270:1964;333-337.
26. Marin G.A., Clark M.C., Senior J.R. Distribution of d-xylose in sequestered fluid resulting in false-positive tests for malabsorption. Ann Intern Med. 69:1968;1155-1162.
27. Goldstein F., Karacadag S., Wirts C.W., et al. Intraluminal small-intestinal utilization of d-xylose by bacteria. Gastroenterology. 59:1970;380-386.
28. Toskes P.P., King C.E., Spivey T.C., et al. Xylose catabolism in the experimental rat blind loop syndrome Studies including use of a newly developed 14-C d-xylose breath test . Gastroenterology. 74:1978;691-697.
29. Logan R.F.A., Ferguson A., Finlayson N.D.C., et al. Primary biliary cirrhosis and coeliac disease. An association? Lancet. 1:1978;230-233.
30. Ginn P., Workman R.D. Primary biliary cirrhosis and adult celiac disease. West J Med. 156:1992;547-549.
31. Iliffe G.D., Owen D.A. An association between primary biliary cirrhosis and jejunal villous atrophy resembling celiac disease. Dig Dis Sci. 24:1979;802-806.
32. Behr W., Barnert J. Adult celiac disease and primary biliary cirrhosis. Am J Gastroenterol. 81:1986;796-799.
33. Dickey W., McMillan S.A., Collins J.S.A., et al. Liver abnormalities associated with celiac sprue. How common are they, what is their significance, and what do we do about them? J Clin Gastroenterol. 20:1995;290-292.
34. Culp K.S., Fleming C.R., Duffy J., et al. Autoimmune associations with primary biliary cirrhosis. Mayo Clin Proc. 51:1982;365-370.
35. Madrid A.M., Defilippi C., Brahm J., et al. Small bowel (SB) motor activity in primary biliary cirrhosis. Gastroenterology. 108:1995;A643.
36. Talal A.H., Murray J.A., Goeken J.A., et al. Celiac disease in an adult population with insulin-dependent diabetes mellitus use of endomysial antibody testing . Am J Gastroenterol. 92:1997;1280-1284.