Progression in the diagnosis and treatment of Bile acid diarrhea / 医学研究生学报

ABSTRACT

Bile-acid diarrhoea(BAD)is a common cause of chronic diarrhoea,resulting from the excess amounts of bile acids enter the colon.The understanding of people about the cause of this diarrhea is still relatively limited for a variety of reasons.Clin-ically,75SeHCAT is the first-line diagnostic test,Other diagnostic tests including the measurement of serum 7α-hydroxy-4-cholesten-3-one(C4)、serum fibroblast growth factor 19(FGF19)、fecal bile acids and the empirical treatment of bile acid sequestrants(BAS). First-line treatment is with BAS for BAD,primarily cholestyramine,Newer BAS such as colestipol and colesevelam have fewer side effects. Obeticholic acid(OCA),as a new drug,maybe have a significant future.This article gives an overview on the etiology,pathogen-esis、diagnosis and treatment progress of BAD.