Diagnostic Yield of Endoscopy in Patients with Unexplained Weight Loss

Mummadi, Rajasekhara R.; Lee, Gabriel H.; Amar, Neil K.; Raju, Gottumukkala S.

doi:10.1016/j.gie.2007.03.920

Cited by 3 publications

(3 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…GI malignancy is an important and a feared cause of UWL. Different reports have shown a low GI malignancy rates of 6.6-12% in patients with UWL depending on the diagnostic modality used [20,26], and another study found 57 (3.7%) and 24 (4.3%) cases of malignancy in the upper and lower GI tract, respectively [27]. Additional study showed that UWL alone was not associated with colorectal cancer among patients who underwent colonoscopy [28].…”

Section: Weight Lossmentioning

confidence: 93%

See 1 more Smart Citation

Unintentional Weight Loss

Abu‐Freha¹

2018

Weight Loss

View full text Add to dashboard Cite

Unintentional weight loss (UWL) is a common symptom, particularly among older patients. In one site, patients with UWL have increased morbidity and mortality; in the other site, the prognosis of the patients is related to primary cause of the UWL. The differential diagnosis of the underlying diseases leading to UWL is broad and includes both malignant and nonmalignant gastrointestinal (GI) diseases, as well as endocrine, infectious, cardiopulmonary, and psychiatric disorders and side effects of medications. Patients with UWL should be investigated. The diagnostic approach to patients with UWL includes comprehensive medical history, physical examination, laboratory testing, imaging, and endoscopy. The imaging and endoscopy should be targeted according to the symptom, physical examination findings, and laboratory results. The treatment of UWL should be targeted to the primary disease causing weight loss. Non-pharmacologic nutrition intervention is the important treatment, and some pharmacologic treatment could be helpful in part of the patients.

show abstract

Section: Weight Lossmentioning

confidence: 93%

“…Gastrointestinal disorders may account for up to 25-30% of the cases of UWL [20,25]. Unfortunately, data on the diagnostic yield of endoscopy in UWL are scant [26,30]. The role of endoscopic evaluation in this framework remains controversial.…”

Section: Endoscopymentioning

confidence: 99%

Unintentional Weight Loss

Abu‐Freha¹

2018

Weight Loss

View full text Add to dashboard Cite

show abstract

“…This result was in accordance to that of Mummadi et al in 2007 in United States which found the presence of weight loss in colorectal cancer and IBD. 16 data about haemorrhoid and colon polyp triggering weight loss. This could be a coincidence or bystander.…”

Section: Kata Kunci: Kolonoskopi Hematoskezia Hemoroid Neoplasiamentioning

confidence: 99%

Symptoms and Diagnostic Yields of Colonoscopy in St Vincentius Hospital Singkawang West Borneo 2017-2018

Frandy¹,

Mondrowinduro²

2020

InaJGHE

View full text Add to dashboard Cite

Background: Colonoscopy is the gold standard procedure which is widely used in the diagnosis and treatment of colonic mucosal disorder. Colonoscopy examination which is included in the referral system of the social insurance administration organization has been available at St Vincentius Hospital Singkawang since March 2017 to support diagnosis of lower gastrointestinal diseases. Patients were from Singkawang City and 3 surrounding districts (Sambas, Bengkayang, and Mempawah) that close to the Malaysian border. The purpose of this study is to evaluate symptom and diagnosis yield of patient who underwent colonscopy at St. Vincentius Hospital, Singkawang from March 2017 to April 2018.Method: This was a retrospective descriptive study by using secondary data of patient’s medical records at St Vincentius Hospital Singkawang in March 2017 - April 2018. Every patient is included as a sample (total sampling).Results: Total numbers are consisted 78 colonoscopies, with 163 cases of lower gastrointestinal disease. Three major findings of colonoscopy were internal hemorrhoids (64%), colon mass (30%), and inflammatory bowel disease (IBD) (26%). Indications of patient to underwent colonoscopy were hematochezia 38%, chronic diarrhea 19%, chronic constipation 18%, anemia 12%, abdominal pain 6%, screening neoplasia 3% and unexplained weight lost 3%.Conclusion: Hematochezia is the most common indication of patients to underwent colonoscopy at Singkawang and its surrounding districts. The most common finding of colonoscopy was hemorrhoid.

show abstract