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Encyclopedia > Steatorrhoea

Steatorrhea (or steatorrhoea) is the formation of bulky, grey or light colored stools. There is increased fat excretion, which can be objectivated by determining the fecal fat levels. While definitions have not been standardised, fat excretion in faeces in excess of 0.3 (g/kg)/day is considered indicative of steatorrhea.


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Prescriber (1453 words)
Steatorrhoea (fat malabsorption) and azotorrhoea (protein malabsorption) occur only when there is a 90 per cent reduction in the output of lipase and trypsin.
To abolish steatorrhoea, a minimum of 28 000 units of lipase must be taken with each meal if gastric and duodenal pH is greater than 4.
Some patients with steatorrhoea on standard pancreatin therapy may benefit from adjuvant therapy with H2-antagonists or proton pump inhibitors.4 In certain circumstances, alteration of the dosage schedule to two standard pancreatin tablets hourly can be effective.
Med-Lib - Medical Online Library - English Articles - Oxford Textbook of Surgery - Malabsorption syndromes (3817 words)
Whatever the cause of cholestasis, malabsorption is caused by bile salt insufficiency, and patients therefore develop steatorrhoea and the accompanying malabsorption of the fat soluble vitamins (A, D, K).
Although patients with coeliac disease may still present with the classical clinical picture of weight loss, anorexia, steatorrhoea, and the signs of nutritional deficiency, the majority of patients are now diagnosed at a much earlier stage: unexplained iron deficiency anaemia or the symptoms of an irritable bowel syndrome are the most frequent presenting features.
Patients with continuing steatorrhoea, including those with prolonged cholestasis, extensive mucosal atrophy of the small bowel, and those with a short bowel syndrome, will suffer from malabsorption of vitamins A, D, and K. Monthly intramuscular injections of these fat soluble vitamins may be needed (e.g.
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