Abstract
Abstract
Chronic diarrhea, defined as a decrease in stool consistency for more than four weeks with daily stools over 200 grams. The increase in the frequency of defecation should beconsidered as part of the chronic diarrhea. Getting a good history and physical examination are the most important steps for the evaluation of chronic diarrhea and this may besufficient to direct therapy in some cases. Diet, medications, enfections, inflammatory bowel disease are some potential causes of chronic diarrhea. Patients with "red flag signs" endoscopic examinations for organic diseases should be considered first in the diagnostic approach. Chronic diarrhea can be divided into three groups; watery diarrhea (osmo-tic, secretory and functional), fatty diarrhea (malabsorption), and inflammatory diarrhea(inflammatory bowel disease).
References
- Kaynaklar 1.Headstrom PD, Surawicz CM. Chronic diarrhea. Clin Gastro Hep.2005;3:734–7. 2.Wenzl HH, Fine KD, Schiller LR, Fordtran JS. Determinants of dec-reased fecal consistency in patients with diarrhea. Gastroenterology1995;108:1729–1738. 3.Stanton B, Clemens JD. Chronic diarrhoea: a methodologic basisfor its apparent heterogeneity. Trop Geogr Med 1989;41:100–107. 4. Camilleri M. Chronic Diarrhea: A Review on Pathophysiology andManagement for the Clinical Gastroenterologist. Clinical Gastro-enterology and Hepatology 2004;2:198–206 5. Bertomeu A, Ros E, Barragan V, Sachje L, Navarro S. Chronic di-arrhea with normal stool and colonic examinations: organic or func-tional? J Clin Gastroenterol 1991;13:531–536. 6. Schiller LR, Rivera LM, Santangelo W, Little K, Fordtran JS. Diag-nostic value of fasting plasma peptide concentrations in patients withchronic diarrhea. Dig Dis Sci 1994;39:2216–2222. 7. Schiller LR. Diarrhea. Med Clin Norh Am 2000; 84:1259-74 8. Phillips S, Donaldson L, Geisler K, Pera A, Kochar R. Stool com-position in factitial diarrhea: a 6-year experience with stool analy-sis. Ann Intern Med. 1995;123(2):97–100. 9. Bertomeu A, Ros E, Barragán V, Sachje L, Navarro S. Chronic di-arrhea with normal stool and colonic examinations: organic or func-tional? J Clin Gastroenterol. 1991;13(5):531–536. 10. Fine KD, Schiller LR. AGA Technical Review on the Evaluation andManagement of Chronic Diarrhea. Gastroenterology1999;116:1464–1486 11.Davinder K. Sandhu & Christina Surawicz. Update on Chronic Di-arrhea: A Run-Through for the Clinician. Curr Gastroenterol Rep(2012) 14:421–427 12.Fernández-Bañares F, Salas A, Esteve M, Espinós J, Forné M, Vi-ver JM. Collagenous and lymphocytic colitis: evaluation of clinicaland histo¬logical features, response to treatment, and long-term fol-low-up. Am J Gastroenterol. 2003; 98(2): 340-347. 13.Feldman M, Friedman LS, Sleisenger MH, eds. Sleisenger & Fordt-ran’s Gastrointestinal and Liver Disease: Pathophysiology, Diag-nosis, and Management. 7th ed. Philadelphia, Pa.: Saunders;2002: 137. 14.Vavricka S, Wilhelmi M. Essentials in Gastroenterology and Hepa-tology. Falk Foundation 2014;78-88 15. Juckett G, Trivedi R. Evaluation of Chronic Diarrhea. American Fa-mily Physician 2011;84 (10)1119-1126 16. Van Limbergen J, Russell RK, Drummond HE, et al. Definition ofphenotypic characteristics of childhood-onset inflammatory boweldisease. Gastroenterology. 2008;135(4):1114–22. 17.Haitha M, Pena A. Update in the diagnostic tools of celiac diseaseand its complications. In: Edwards MA. Celiac Disease: Etiology,Diagnosis, and Treatment. New York, NY: Nova Biomedical Books;2009: 95-146. 18. von der Ohe MR. Diarrhoea in patients with diabetes mellitus. EurJ Gastroenterol Hepatol. 1995;7(8):730–6. 19. Walters JR, Pattni SS. Managing bile acid diarrhoea. Ther Adv Gas-troenterol. 2010;3(6):349–57. 20.Pardi DS, Kelly CP. Microscopic colitis. Gastroenterology.2011;140(4):1155–65.
Abstract
Öz
Kronik ishal dört haftadan uzun süren dışkı kıvamında azalmayla beraber günlük dışkı miktarının 200 gr üzerinde olmasıdır. Dışkılama sıklığında artışta kronik diyarenin birparçası olarak dikkate alınmalıdır. İyi bir öykü ve fizik muayene kronik diyare yaklaşımında en önemli basamaklardır ve bazı durumlarda direk tedavi için yeterlidir. Diyet, ilaçlar,enfeksiyonlar, inflamatuar barsak hastalıkları kronik ishalin potansiyel nedenlerindendir.“Alarm semptomu” olan hastalarda organik hastalıklar açısından endoskopik incelemelertanı yaklaşımında ilk basamak olmalıdır. Kronik diyare üç gruba ayrılabilir; sulu ishal (osmotik, sekretuar ve fonksiyonel), yağlı ishal (malabsorbsiyon) ve inflamatuar ishal (infla-matuar barsak hastalıkları).
References
- Kaynaklar 1.Headstrom PD, Surawicz CM. Chronic diarrhea. Clin Gastro Hep.2005;3:734–7. 2.Wenzl HH, Fine KD, Schiller LR, Fordtran JS. Determinants of dec-reased fecal consistency in patients with diarrhea. Gastroenterology1995;108:1729–1738. 3.Stanton B, Clemens JD. Chronic diarrhoea: a methodologic basisfor its apparent heterogeneity. Trop Geogr Med 1989;41:100–107. 4. Camilleri M. Chronic Diarrhea: A Review on Pathophysiology andManagement for the Clinical Gastroenterologist. Clinical Gastro-enterology and Hepatology 2004;2:198–206 5. Bertomeu A, Ros E, Barragan V, Sachje L, Navarro S. Chronic di-arrhea with normal stool and colonic examinations: organic or func-tional? J Clin Gastroenterol 1991;13:531–536. 6. Schiller LR, Rivera LM, Santangelo W, Little K, Fordtran JS. Diag-nostic value of fasting plasma peptide concentrations in patients withchronic diarrhea. Dig Dis Sci 1994;39:2216–2222. 7. Schiller LR. Diarrhea. Med Clin Norh Am 2000; 84:1259-74 8. Phillips S, Donaldson L, Geisler K, Pera A, Kochar R. Stool com-position in factitial diarrhea: a 6-year experience with stool analy-sis. Ann Intern Med. 1995;123(2):97–100. 9. Bertomeu A, Ros E, Barragán V, Sachje L, Navarro S. Chronic di-arrhea with normal stool and colonic examinations: organic or func-tional? J Clin Gastroenterol. 1991;13(5):531–536. 10. Fine KD, Schiller LR. AGA Technical Review on the Evaluation andManagement of Chronic Diarrhea. Gastroenterology1999;116:1464–1486 11.Davinder K. Sandhu & Christina Surawicz. Update on Chronic Di-arrhea: A Run-Through for the Clinician. Curr Gastroenterol Rep(2012) 14:421–427 12.Fernández-Bañares F, Salas A, Esteve M, Espinós J, Forné M, Vi-ver JM. Collagenous and lymphocytic colitis: evaluation of clinicaland histo¬logical features, response to treatment, and long-term fol-low-up. Am J Gastroenterol. 2003; 98(2): 340-347. 13.Feldman M, Friedman LS, Sleisenger MH, eds. Sleisenger & Fordt-ran’s Gastrointestinal and Liver Disease: Pathophysiology, Diag-nosis, and Management. 7th ed. Philadelphia, Pa.: Saunders;2002: 137. 14.Vavricka S, Wilhelmi M. Essentials in Gastroenterology and Hepa-tology. Falk Foundation 2014;78-88 15. Juckett G, Trivedi R. Evaluation of Chronic Diarrhea. American Fa-mily Physician 2011;84 (10)1119-1126 16. Van Limbergen J, Russell RK, Drummond HE, et al. Definition ofphenotypic characteristics of childhood-onset inflammatory boweldisease. Gastroenterology. 2008;135(4):1114–22. 17.Haitha M, Pena A. Update in the diagnostic tools of celiac diseaseand its complications. In: Edwards MA. Celiac Disease: Etiology,Diagnosis, and Treatment. New York, NY: Nova Biomedical Books;2009: 95-146. 18. von der Ohe MR. Diarrhoea in patients with diabetes mellitus. EurJ Gastroenterol Hepatol. 1995;7(8):730–6. 19. Walters JR, Pattni SS. Managing bile acid diarrhoea. Ther Adv Gas-troenterol. 2010;3(6):349–57. 20.Pardi DS, Kelly CP. Microscopic colitis. Gastroenterology.2011;140(4):1155–65.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Makaleler 1 |
| Authors | |
| Publication Date | February 5, 2017 |
| Published in Issue | Year 2017 Volume: 5 Issue: 2 |
