Protein-losing enteropathy
Protein-losing enteropathy is an abnormal loss of protein from the digestive tract. It can also refer to the inability of the digestive tract to absorb proteins.
Causes
There are many causes of protein-losing enteropathy. Conditions that cause serious inflammation in the intestines can lead to protein loss. Some of these are:
- Bacteria or parasite infection of the intestines
-
Celiac sprue
Celiac sprue
Celiac disease is a condition caused by damage to the lining of the small intestine. This damage comes from a reaction to eating gluten. This is a ...
-
Crohn disease
Crohn disease
Crohn disease is a disease where parts of the digestive tract become inflamed. It most often involves the lower end of the small intestine and the be...
- HIV infection
- Lymphoma
Symptoms
Symptoms can include diarrhea, fever, and abdominal pain. Symptoms will depend on the disease that is causing the problem.
Exams and Tests
You may need tests that look at the intestinal tract. These may include a CT scan of the abdomen or an upper GI bowel series.
Other tests you may need include:
- Colonoscopy
- Esophagogastroduodenoscopy (EGD)
- Small intestine biopsy
-
Alpha-1-antitrypsin
test
Alpha-1-antitrypsin
Alpha-1 antitrypsin is a laboratory test to measure the amount of alpha-1 antitrypsin (A1AT) in your blood.
- Small bowel capsule endoscopy
- CT or MR enterography
- Alpha-1-antitrypsin test
Treatment
The health care provider will treat the condition that caused protein-losing enteropathy.
References
Greenwald DA. Protein losing gastroenteropathy. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger & Fordtran's Gastrointestinal and Liver Disease . 10th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 30.
Semrad CE. Approach to the patient with diarrhea and malabsorption. In: Goldman L, Schafer AI, eds. Goldman's Cecil Medicine . 25th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 140.
Review Date: 7/22/2016
Reviewed By: Subodh K. Lal, MD, gastroenterologist with Gastrointestinal Specialists of Georgia, Austell, GA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.