The Practical Value of Comprehensive Stool Analysis in Detecting the Cause of Idiopathic Chronic Diarrhea

2012 ◽  
Vol 41 (3) ◽  
pp. 539-560 ◽  
Author(s):  
Karen J. Steffer ◽  
Carol A. Santa Ana ◽  
Jason A. Cole ◽  
John S. Fordtran
2019 ◽  
Vol 10 (01) ◽  
pp. 049-052
Author(s):  
Varun Kumar Karri ◽  
Sravan Kumar Korrapati ◽  
L. R. S. Girinadh

ABSTRACT Introduction: Chronic diarrhea is defined as the passage of soft or watery stool more than three times per day with or without blood and/or mucous or the passage of stool of more than 200 g per day and lasts for more than 4 weeks. Studies exploring the causes of chronic diarrhea in the developing countries are scarce and might not be generalizable from one setting to another. Aim: The aim of the study is to study the colonic and terminal ileal macroscopic and mucosal histopathological findings in chronic large bowel diarrhea patients. Methods: Eighty-six patients with chronic large bowel diarrhea were included after negative HIV status, stool analysis, and stool culture. A full-length colonoscopy with terminal ileoscopy was done. When the colon was within normal limits, randomly four biopsies each were taken from terminal ileum, ascending colon, transverse colon, and rectosigmoid region, respectively. Results: In a total of 86 patients, most of the patients (48%) were in the age group of 41–60 years. Females predominated in the present study in the ratio of 3:2. Ileal intubation was possible in all (100%) cases. Histology is normal in 35 patients. Fifty-one patients had histological changes of which 22 were diagnostic for specific disease which altered the treatment. Among 22 patients, 21 (95.4%) had histological changes in ascending colon and only 9 (40.9%) had changes in biopsy from rectosigmoid. In our study, definite diagnostic histology was obtained in 25.5% of cases. Conclusion: The yield of colonoscopy and biopsy in chronic large bowel diarrhea is moderate. Colonoscopy and biopsy have higher diagnostic yield than sigmoidoscopic biopsies.


2009 ◽  
Vol 15 (32) ◽  
pp. 3477
Author(s):  
Savvoula Savvidou ◽  
John Goulis ◽  
Alexandra Gantzarou ◽  
George Ilonidis
Keyword(s):  

2017 ◽  
Vol 6 (12) ◽  
pp. 5562
Author(s):  
Tiana Mary Alexander ◽  
Vineeta Pande ◽  
Sharad Agarkhedkar ◽  
Dnyaneshwar Upase

Megaloblastic anemia is a common feature between 6 months – 2 years and rarely occurs after 5 years of age, especially in a child consuming non-vegetarian diet. B12 deficiency may occur after 5 years of age because of chronic diarrhea, malabsorption syndrome, or intestinal surgical causes. Pernicious anemia causes B12 deficiency, but nutritional B12 deficiency with subacute combined degeneration causing ataxia is rare.


Author(s):  
R. Estévez-González ◽  
Á. Romo Navarro ◽  
Á. Sánchez Castaño ◽  
M.P. López Castañeyra
Keyword(s):  

Author(s):  
Alvaro Quincho-Lopez ◽  
Noah Kojima ◽  
John M. Nesemann ◽  
Rogger Verona-Rubio ◽  
Dina Carayhua-Perez

AbstractCryptococcosis is a fungal infection that is rarely reported in patients without human immunodeficiency virus (HIV) infection, especially when the central nervous system (CNS) or pulmonary system is not involved. We report a case of isolated colonic cryptococcosis without disseminated disease in a 64-year-old immunocompetent woman without HIV infection who presented with chronic diarrhea and no episodes of fever or weight loss. The diagnosis was based on histopathology examination. Furthermore, we performed a literature review showing that few reports have been published so far and in the case of colonic cryptococcal infection, the prognosis is favorable among HIV-uninfected patients.


Author(s):  
Mosunmoluwa Oyenuga ◽  
Safia Shaikh ◽  
Benjamin Harris ◽  
Jyotsana Sinha ◽  
Alexandre Lacasse
Keyword(s):  

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Chunli Wang ◽  
Xiaoying Zhou ◽  
Mengshu Zhu ◽  
Hanjun Yin ◽  
Jiamei Tang ◽  
...  

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