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Current Gastroenterology Reports

Erschienen in:

01.03.2018 | Large Intestine (B Cash, Section Editor)

Update on Bile Acid Malabsorption: Finally Ready for Prime Time?

verfasst von: Priya Vijayvargiya, Michael Camilleri

Erschienen in: Current Gastroenterology Reports | Ausgabe 3/2018

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Abstract

Purpose of Review

To provide an update on the prevalence, pathophysiology, disease associations, and treatment options for bile acid malabsorption (BAM).

Recent Findings

•Molecular mechanisms—BAs prevent water reabsorption and increase water secretion by intracellular mediators, increasing aquaporin channels and intracellular permeability. •Inflammatory bowel disease—new molecular mechanisms of BAM are identified in patients without ileal disease, including changes in expression of ileal BA transporter and nuclear receptors involved in BA homeostasis. •Microscopic colitis—BAM is one of the mechanisms leading to microscopic colitis. •Diagnostic testing—new diagnostic tests have been launched in the USA (serum C4 and fecal 48-h BA excretion); stimulated FGF19 has higher detection of BAM compared to fasting sample alone. •Treatment—investigational FXR agonists may provide a daily, oral option for treatment of BAM instead of BA sequestrants.

Summary

There is a greater appreciation of the biological role of bile acids across multiple fields of medicine, including gastrointestinal indications.

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Titel: Update on Bile Acid Malabsorption: Finally Ready for Prime Time?
verfasst von: Priya Vijayvargiya
Michael Camilleri
Publikationsdatum: 01.03.2018
Verlag: Springer US
Erschienen in: Current Gastroenterology Reports / Ausgabe 3/2018
Print ISSN: 1522-8037
Elektronische ISSN: 1534-312X
DOI: https://doi.org/10.1007/s11894-018-0615-z

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Update on Bile Acid Malabsorption: Finally Ready for Prime Time?

Abstract

Purpose of Review

Recent Findings

Summary

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Abstract

Purpose of Review

Recent Findings

Summary

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Leitlinien kompakt für die Innere Medizin

Neu im Fachgebiet Innere Medizin

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

Viel Bewegung in der Parkinsonforschung

Adjuvante Immuntherapie verlängert Leben bei RCC

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