Exudative enteropathy in children: causes, diagnosis and therapy

The article discusses the issues of etiology, pathogenesis, diagnosis and therapy of exudative enteropathy in children, and provides his own clinical observations. Exudative enteropathy is characterized by excessive loss of proteins through the gastrointestinal tract and is a rare complication of various gastrointestinal diseases. Clinical symptomatology is diverse depending on the leading cause of the pathology, but is mainly manifested by edema due to hypoproteinemia. In the presence of exudative enteropathy, it is necessary to exclude such causes of hypoproteinemia as malnutrition, a violation of synthesis or loss of protein due to diseases of other organs – kidney, liver or skin. The definition of the cause of exudative enteropathy is the key to its treatment. Therapy of exudative enteropathy involves maintaining the nutritional status of the patient with a diet high in protein and treating the underlying disease. With enteropathy associated with lymphangiectasia, a low-fat diet containing medium chain triglycerides is recommended