Clinical Case Database / Category: Patient Management

Investigating malabsorption

Publication details

Hannah Jackson BMedSci, BMBS, MRCP (London), Ian Gee MD, FRCP
Foundation Years Journal, volume 5, issue 8, p.15 (123Doc Education, London, September 2011)


This case-based discussion focuses on a previously well 53 year-old man presenting with symptoms suggestive of malabsorption and discusses the investigation, differential diagnosis and management of malabsorption.

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Hannah Jackson BMedSci, BMBS, MRCP (London)

Gastroenterology ST4 at Worcestershire
Royal Hospital

Ian Gee MD, FRCP

Consultant Gastroenterologist
Worcestershire Royal Hospital and Specialist Training Committee Chair in Gastroenterology for the West Midlands


1. Foundation Year Programme Curriculum: core competencies and skills foundation-programme-curriculum
2. Lewis SJ, Heaton KW. Stool form scale as a useful guide to intestinal transit time. Scand. J. Gastroenterol 1997; 32 (9): 920–4
3. Bloom S and Webster G. Malabsorption and steatorrhoea and Coeliac disease. In: Oxford Handbook of Gastroenterology and Hepatology, 1st edition. New York: Oxford University Press 2006; 79-82 and 228-230
5. Farrell RJ and Kelly CP. Celiac sprue and refractory sprue. In: Sleisenger and Fordtran's Gastrointestinal and Liver Disease, 8th edition. Philadelphia: Elsevier 2006; 2277-2306


Conflict Of Interest

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Financial Statement

The authors of this article have not been paid. The Journal is financed by subscriptions and advertising. The Journal does not receive money from any other sources. The decision to accept or refuse this article for publication was free from financial considerations and was solely the responsibility of the Editorial Panel and Editor-in-Chief.

Patient Consent statement

All pictures and investigations shown in this article are shown with the patients’ consent. We require Authors to maintain patients’ anonymity and to obtain consent to report investigations and pictures involving human subjects when anonymity may be compromised. The Journal follows the Guidelines of the Uniform Requirements for Manuscripts ( The Journal requires in its Guidelines for Authors a statement from Authors that “the subject gave informed consent”.

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When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.

About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.