The prevalence, anatomic distribution, and diagnosis of colonic causes of chronic diarrhea

Fine, Kenneth D.; R, Seidel; Kim, Do

doi:10.1016/s0016-5107(00)70362-2

Cited by 161 publications

(117 citation statements)

References 39 publications

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“…Mucosal biopsies are recommended even when the endoscopic appearance is normal. Th e diagnostic yield of colonoscopy in patients ranges from 7 to 32%, with IBD and microscopic colitis being the most common diagnoses (164)(165)(166)(167)(168)(169). It has also been seen that colonoscopy yields a noninfectious diagnosis more oft en than upper endoscopy (170)(171)(172).…”

Section: Th E Evidence Does Not Support Empiric Anti-microbial Therapymentioning

confidence: 99%

ACG Clinical Guideline: Diagnosis, Treatment, and Prevention of Acute Diarrheal Infections in Adults

Riddle

DuPont

Connor

2016

American Journal of Gastroenterology

328

250

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Acute diarrheal infections are a common health problem globally and among both individuals in the United States and traveling to developing world countries. Multiple modalities including antibiotic and non-antibiotic therapies have been used to address these common infections. Information on treatment, prevention, diagnostics, and the consequences of acute diarrhea infection has emerged and helps to inform clinical management. In this ACG Clinical Guideline, the authors present an evidence-based approach to diagnosis, prevention, and treatment of acute diarrhea infection in both US-based and travel settings. Am J Gastroenterol 2016; 111:602-622; doi: 10.1038/ajg.2016 A follow-up survey where 3,568 respondents (median age 51) were asked at random about illness in the previous 7 days or previous month found that recall bias had an important eff ect on estimates of acute gastrointestinal illness ( 10 ). Using a 7-day exposure window, the estimated incidence of acute diarrhea was 1.6 episodes per person-year, compared with 0.9 episodes per person-year if asked about illness within the preceding month. Other population-based studies from Canada and western European countries using varied methodologies estimate annual incidence between 0.1 to 3.5 episodes per person-year ( 11 18. Antibiotic chemoprophylaxis has moderate to good effectiveness and may be considered in high-risk groups for short-term use. (Strong recommendation, high level of evidence) TD, traveler's diarrhea.

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Section: Th E Evidence Does Not Support Empiric Anti-microbial Therapymentioning

confidence: 99%

ACG Clinical Guideline: Diagnosis, Treatment, and Prevention of Acute Diarrheal Infections in Adults

Riddle

DuPont

Connor

2016

American Journal of Gastroenterology

328

250

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“…Collagenous colitis (CC) differs from lymphocytic colitis (LC) in that it presents a sub-epithelial collagen band adjacent to the basal membrane, whereas the hallmark of LC is a dense lymphocytic infiltration in the epithelium. The condition is commoner in women, 22 is a frequent cause of an altered bowel habit towards looser stools, 23,24 and is often accompanied by abdominal pain. [25][26][27] The incidence of MC has been reported as 2.6 to 21.0 Kamp et al…”

Section: Introductionmentioning

confidence: 99%

Irritable Bowel Syndrome and Microscopic Colitis: A Systematic Review and Meta-analysis

Kamp

Kane

Ford

2016

Clinical Gastroenterology and Hepatology

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“…These two forms of microscopic colitis are being diagnosed with increasing frequency; they now account for 10% of cases evaluated for chronic nonbloody diarrhea that are not associated with human immunodeficiency virus (HIV) infection at tertiary medical centers. 5 Since the etiology of these conditions is unknown, therapy has been largely empiric. Furthermore, the natural history of these entities has not been well defined.…”

mentioning

confidence: 99%

Sequential clinical and histopathological changes in collagenous and lymphocytic colitis over time

et al. 2004

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We conducted this retrospective study to evaluate the relationship between symptoms, histological findings, and treatment of collagenous (CC) and lymphocytic colitis (LC). We identified 19 CC and 12 LC patients having multiple colonoscopic procedures with colonic biopsies during their course of illness. A detailed histological review of all biopsies was performed. Clinical history, including symptoms and medications, was obtained in 25 of the 31 patients and was correlated with their histological findings. In all, 25% of the CC patients and 50% of the LC patients who had biopsies prior to their definitive diagnosis had the pathognomonic histological features on their prior biopsies to some extent (but were not recognized by the pathologists); however, these features were more pronounced on the biopsies from the procedure that established the diagnosis. Nonetheless, 10 of 12 such patients with clinical data available had symptoms and were being treated at the time of prior biopsies. Assessment of the relationship among histological, clinical and therapeutic data showed no association between symptoms or histological findings and treatment with any medication. In summary, in this sample of CC and LC patients, symptoms often precede fully developed histological features. No change in symptoms or histological findings was found to be associated with medication.

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The prevalence, anatomic distribution, and diagnosis of colonic causes of chronic diarrhea

Cited by 161 publications

References 39 publications

ACG Clinical Guideline: Diagnosis, Treatment, and Prevention of Acute Diarrheal Infections in Adults

ACG Clinical Guideline: Diagnosis, Treatment, and Prevention of Acute Diarrheal Infections in Adults

Irritable Bowel Syndrome and Microscopic Colitis: A Systematic Review and Meta-analysis

Sequential clinical and histopathological changes in collagenous and lymphocytic colitis over time

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