Chronic diarrhea other diagnostic studies: Difference between revisions
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==Overview== | ==Overview== | ||
An endoscopic evaluation should be considered if there are persistent symptoms, inconclusive diagnosis, or failure to respond to therapy. Guidelines for the role of endoscopy in the management of patients with diarrhea have been published by the American Society of Gastrointestinal Endoscopy. | |||
==Other diagnostic studies== | ==Other diagnostic studies== | ||
===Flexible sigmoidoscopy=== | |||
Flexible sigmoidoscopy can be used as an initial diagnostic tool in patients with chronic diarrhea who are pregnant or have significant comorbidities where a colonoscopy is contraindicated. Flexible sigmoidoscopy may however be sufficient in the diagnosis as long as biopsy samples are obtained for histologic evaluation even when the mucosa appears normal to rule out causes of chronic diarrhea such as microscopic colitis.<ref name="pmid20346452">{{cite journal| author=ASGE Standards of Practice Committee. Shen B, Khan K, Ikenberry SO, Anderson MA, Banerjee S et al.| title=The role of endoscopy in the management of patients with diarrhea. | journal=Gastrointest Endosc | year= 2010 | volume= 71 | issue= 6 | pages= 887-92 | pmid=20346452 | doi=10.1016/j.gie.2009.11.025 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20346452 }} </ref> | |||
===Colonoscopy=== | |||
Chronic diarrhea can be diagnosed by colonoscopy with biopsy in patients with IBD, microscopic inflammatory disorders, and colorectal neoplasia.<ref name="pmid16564852">{{cite journal| author=Leighton JA, Shen B, Baron TH, Adler DG, Davila R, Egan JV et al.| title=ASGE guideline: endoscopy in the diagnosis and treatment of inflammatory bowel disease. | journal=Gastrointest Endosc | year= 2006 | volume= 63 | issue= 4 | pages= 558-65 | pmid=16564852 | doi=10.1016/j.gie.2006.02.005 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16564852 }} </ref> | |||
==References== | ==References== | ||
Revision as of 18:51, 7 June 2017
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Chronic diarrhea Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Omodamola Aje B.Sc, M.D. [2]
Overview
An endoscopic evaluation should be considered if there are persistent symptoms, inconclusive diagnosis, or failure to respond to therapy. Guidelines for the role of endoscopy in the management of patients with diarrhea have been published by the American Society of Gastrointestinal Endoscopy.
Other diagnostic studies
Flexible sigmoidoscopy
Flexible sigmoidoscopy can be used as an initial diagnostic tool in patients with chronic diarrhea who are pregnant or have significant comorbidities where a colonoscopy is contraindicated. Flexible sigmoidoscopy may however be sufficient in the diagnosis as long as biopsy samples are obtained for histologic evaluation even when the mucosa appears normal to rule out causes of chronic diarrhea such as microscopic colitis.[1]
Colonoscopy
Chronic diarrhea can be diagnosed by colonoscopy with biopsy in patients with IBD, microscopic inflammatory disorders, and colorectal neoplasia.[2]
References
- ↑ ASGE Standards of Practice Committee. Shen B, Khan K, Ikenberry SO, Anderson MA, Banerjee S; et al. (2010). "The role of endoscopy in the management of patients with diarrhea". Gastrointest Endosc. 71 (6): 887–92. doi:10.1016/j.gie.2009.11.025. PMID 20346452.
- ↑ Leighton JA, Shen B, Baron TH, Adler DG, Davila R, Egan JV; et al. (2006). "ASGE guideline: endoscopy in the diagnosis and treatment of inflammatory bowel disease". Gastrointest Endosc. 63 (4): 558–65. doi:10.1016/j.gie.2006.02.005. PMID 16564852.