Hyposplenism and Gastrointestinal Diseases: Significance and Mechanisms

Dig Dis. 2022;40(3):290-298. doi: 10.1159/000517338. Epub 2021 May 31.

Abstract

Background: Functional hyposplenism is a recognized complication of several gastroenterological disorders, including coeliac and inflammatory bowel diseases, and is believed to contribute to the increased infection risk seen in these disorders.

Summary: The mechanisms of hyposplenism are poorly understood. In this article, we review possible mechanisms underlying development of functional hyposplenism and discuss implications for its management.

Key messages: Identifying functional hyposplenism is important, as it may permit earlier recognition and treatment of serious infections through patient education and vaccination.

Keywords: Coeliac disease; Hyposplenism; Inflammatory bowel disease; Spleen.

Publication types

  • Review

MeSH terms

  • Gastrointestinal Diseases* / complications
  • Humans
  • Splenic Diseases* / complications
  • Splenic Diseases* / therapy