Evaluation of chronic diarrhea
Resumo
Diferenciales
Común
- Ulcerative colitis
- Microscopic colitis (lymphocytic colitis and collagenous colitis)
- Viral, bacterial, parasitic, HIV enteropathy
- Irritable bowel syndrome
- Drug effects
- Fecal impaction
- Celiac disease
- Crohn disease
- Bile salt malabsorption
- Brush border enzyme deficiency (lactose, fructose, sucrose, isomaltase)
- Small intestinal bacterial overgrowth
- Pancreatic insufficiency
- Alcohol
- Hyperthyroidism
- Diabetes mellitus
- Radiation enteritis/colitis
- Eosinophilic enteritis
- Chronic ischemic colitis
- Surgical bypass or resection
Infrecuente
- Nonsteroidal anti-inflammatory drug enteropathy
- Infiltrating malignancy
- Protein-losing enteropathy
- Graft versus host disease
- Hodgkin lymphoma
- Non-Hodgkin lymphoma
- Tropical sprue
- Lymphangiectasia/impaired lymphatic drainage
- Hypoparathyroidism
- Addison disease
- Gastrinoma
- Carcinoid tumors
- VIPomas
- Abetalipoproteinemia
- Advanced liver disease
- Common variable immune deficiency
- Amyloidosis
Colaboradores
Autores
Simon Campbell, MB ChB(Hons), MRCP(UK), MD(Edin.)
Consultant Gastroenterologist
Honorary Senior Lecturer
University of Manchester
Manchester
UK
Divulgaciones
SC declares that he has no competing interests.
Rahul Kalla, MBChB, MRCP
Consultant Gastroenterologist
Royal Infirmary Edinburgh
Little France Crescent
Edinburgh
UK
Divulgaciones
RK is the author of a reference cited in this topic. RK declares that he has no competing interests.
Agradecimientos
Dr Simon Campbell and Dr Rahul Kalla would like to gratefully acknowledge Dr Abhishek Sharma, Dr Daniel Leffler, and Dr Ciaran Kelly, the previous contributors to this topic. AS has received honoraria for educational presentations, chairing educational sessions, or advisory work from Abbvie, Vifor Pharma, Almirall, Falk, and Warner Chilcott UK. DL and CK are the authors of a number of references cited in this topic.
Revisores por pares
John Kepros, MD
Director
Trauma Services
Assistant Professor
Michigan State University
Lansing
MI
Divulgaciones
JK declares that he has no competing interests.
Julian R.F. Walters, MA, MB, FRCP
Professor of Gastroenterology
Imperial College London
Hammersmith Hospital
London
UK
Divulgaciones
JRFW has been a member of advisory boards and has received fees for arranging an educational programme from GE Healthcare, the manufacturer of 75SeHCAT. He is a member of the Health Advisory Network for Coeliac UK.
Agradecimiento de los revisores por pares
Los temas de BMJ Best Practice se actualizan de forma continua de acuerdo con los desarrollos en la evidencia y en las guías. Los revisores por pares listados aquí han revisado el contenido al menos una vez durante la historia del tema.
Divulgaciones
Las afiliaciones y divulgaciones de los revisores por pares se refieren al momento de la revisión.
Referencias
Artículos principales
Fernández-Bañares F, Esteve M, Salas A, et al. Systematic evaluation of the causes of chronic watery diarrhea with functional characteristics. Am J Gastroenterol. 2007;102:2520-2528. Resumen
Arasaradnam RP, Brown S, Forbes A, et al. Guidelines for the investigation of chronic diarrhoea in adults: British Society of Gastroenterology, 3rd edition. Gut. 2018 Aug;67(8):1380-99.Texto completo Resumen
Talley NJ. Functional Gastrointestinal Disorders in 2007 and Rome III: something new, something borrowed, something objective. Rev Gastroenterol Disord. 2007;7:97-105. Resumen
Artículos de referencia
Una lista completa de las fuentes a las que se hace referencia en este tema está disponible para los usuarios con acceso a todo BMJ Best Practice.
Folletos para el paciente
Diarrhea in adults
Diarrhea in children
Más Folletos para el paciente
Inicie sesión o suscríbase para acceder a todo el BMJ Best Practice
El uso de este contenido está sujeto a nuestra cláusula de exención de responsabilidad