Clinical Nutrition in Gastrointestinal Disease

Alan Buchman, MD, MSPH

Chapter 13: Metabolic Bone Disease In Gastrointestinal Illness (continued)

Asim S. Kohkhar, MD; Douglas L. Seidner, MD, FACG

Metabolic bone disease (MBD) is an important but often unrecognized complication of gastrointestinal (GI) illness. Maldigestion, malabsorption, inflammation, and abnormal metabolism as a result of the underlying disease and the medications used to treat them all contribute to the development of, most often, osteoporosis and other forms of MBD. An understanding of how these issues lead to the development of MBD should assist in the prevention and treatment of these conditions. A concerted effort should be made in patients with GI disease to diagnose and treat MBD and, in those patients whose…