ISSN 2398-2950      

Chronic diarrhea: hepatic failure

ffelis
Contributor(s):

Phil Nicholls

Ed Hall


Introduction

  • Signs: small intestinal diarrhea, impaired fat digestion due to lack of bile acids, bleeding tendency because of vitamin K malabsorption.
  • Diagnosis: identify underlying hepatic disease.
  • Treatment: eliminate hepatic disease, dietetic diet for liver insufficiency Dietetic diet: for liver insufficiency.
  • Prognosis: guarded.

Pathogenesis

Pathophysiology

  • Portal hypertension   →   stasis in intestinal draining veins   →   impaired absorption; also mucosal edema   →   lymphangiectasia.
  • Impaired hepatic function/obstruction of bile duct   →   reduced delivery of bile acids to duodenum   →   impaired fat digestion   →   diarrhea.

Diagnosis

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Further Reading

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