Temperate sprue

Kendall, M. J.; Bayley, T. J.

doi:10.1136/pgmj.47.552.680

Cited by 6 publications

(4 citation statements)

References 17 publications

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“…Epidemics of this condition were also reported in soldiers and prisoners of war in the Indo‐Burma region during the Second World War, 40 in American military personnel serving in the Philippines, 41 and in Bangladesh 42 . This condition was also reported from temperate countries where it was named ‘temperate sprue’ 43 . Tropical sprue is often accompanied by colonization and overgrowth of bacteria in the small bowel, 44,45 as has been recently reported in association with IBS 14,46 …”

Section: Special Issues In Diagnosis Of Post‐infectious Ibs In Asiamentioning

confidence: 80%

“…42 This condition was also reported from temperate countries where it was named 'temperate sprue'. 43 Tropical sprue is often accompanied by colonization and overgrowth of bacteria in the small bowel, 44,45 as has been recently reported in association with IBS. 14,46 Tropical sprue is characterized by prolonged diarrhea; similarly, PI-IBS is usually diarrhea-predominant type.…”

Section: Special Issues In Diagnosis Of Post-infectious Ibs In Asiamentioning

confidence: 89%

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Bugs and irritable bowel syndrome: The good, the bad and the ugly

Ghoshal

Park

Gwee

2010

J of Gastro and Hepatol

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Recently, there has been strong interest in the therapeutic potential of probiotics for irritable bowel syndrome (IBS). At the same time, there is a rapidly growing body of evidence to support an etiological role for gastrointestinal infection and the associated immune activation in the development of post-infectious IBS. In a more controversial area, small intestinal bacterial overgrowth has been associated with a subset of patients with IBS; the issue of whether it is appropriate to treat a subset of IBS patients with antibiotics and probiotics is currently a matter for debate. Thus, it appears that the gastrointestinal microbial flora may exert beneficial effects for symptoms of IBS under some circumstances, while in other situations gut microbes could give rise to symptoms of IBS. How do we make sense of the apparently diverse roles that 'bugs' may play in IBS? To address this question, we have conducted an in-depth review, attempting where possible to draw lessons from Asian studies.Key words functional bowel disease, gastrointestinal infection, gut flora, post-infective irritable bowel syndrome, probiotics, small intestinal bacterial overgrowth.

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Section: Special Issues In Diagnosis Of Post‐infectious Ibs In Asiamentioning

confidence: 80%

Section: Special Issues In Diagnosis Of Post-infectious Ibs In Asiamentioning

confidence: 89%

Bugs and irritable bowel syndrome: The good, the bad and the ugly

Ghoshal

Park

Gwee

2010

J of Gastro and Hepatol

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“…Epidemics of TS also occurred among soldiers and prisoners of war in the Indo-Burma region during the Second World War, in American military personnel serving in the Philippines and in Bangladesh [6, 7•, 18]. A similar condition was also reported sporadically from temperate countries where it was named "temperate sprue" [19].…”

Section: Epidemiology Of Tsmentioning

confidence: 96%

Tropical Sprue in 2014: the New Face of an Old Disease

Ghoshal

Srivastava

Verma

et al. 2014

Curr Gastroenterol Rep

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Tropical sprue (TS), once known to be a common cause of malabsorption syndrome (MAS) in India and other tropical countries, is believed to be uncommon currently in spite of contrary evidence. Several recent studies from India showed TS to be the commonest cause of sporadic MAS in Indian adults. TS is diagnosed in patients presenting with suggestive clinical presentation, which cannot be explained by another cause of MAS and investigations revealing malabsorption of two unrelated substances, abnormal small-intestinal mucosal histology, which responds to treatment with antibiotics such as tetracycline and folic acid. There is substantial overlap between TS and postinfectious irritable bowel syndrome. There have been several advances in epidemiology, pathogenesis, and diagnosis of TS, hitherto an enigmatic condition.

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“…1 To our knowledge, this is the first case of a tropical sprue-like enteropathy in a nontravelling patient with a compatible histology and suggestive clinical evolution after cyclin treatment. We only know of 1 report of a "temperate sprue," described in 1971, 3 in which malabsorption was authenticated by specific testing, but no histologic change was found in small bowel biopsies.…”

Section: Answer To Image 1: Tropical Sprue-like Enteropathymentioning

confidence: 99%