Diagnostic yield of esophagogastroduodenoscopy, colonoscopy, and small bowel endoscopy in Thai adults with chronic diarrhea

Abstract Background Gastrointestinal endoscopy is frequently recommended for chronic diarrhea assessment in Western countries, but its benefit in the Southeast Asia region is not well established. Methods Medical records of consecutive patients undergoing esophagogastroduodenoscopy (EGD), colonoscop...

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Autores principales:	Julajak Limsrivilai, Choompunuj Sakjirapapong, Onuma Sattayalertyanyong, Tanawat Geeratragool, Phalat Sathirawich, Ananya Pongpaibul, Piyaporn Apisarnthanarak, Phutthaphorn Phaophu, Nichcha Subdee, Phunchai Charatcharoenwitthaya, Nonthalee Pausawasdi
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Diagnostic yield Esophagogastroduodenoscopy Colonoscopy Small bowel endoscopy Chronic diarrhea Diseases of the digestive system. Gastroenterology RC799-869
Acceso en línea:	https://doaj.org/article/a473ca5a1f8c4df28df202d944e8a6ca
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spelling	oai:doaj.org-article:a473ca5a1f8c4df28df202d944e8a6ca2021-11-08T10:45:44ZDiagnostic yield of esophagogastroduodenoscopy, colonoscopy, and small bowel endoscopy in Thai adults with chronic diarrhea10.1186/s12876-021-01998-w1471-230Xhttps://doaj.org/article/a473ca5a1f8c4df28df202d944e8a6ca2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12876-021-01998-whttps://doaj.org/toc/1471-230XAbstract Background Gastrointestinal endoscopy is frequently recommended for chronic diarrhea assessment in Western countries, but its benefit in the Southeast Asia region is not well established. Methods Medical records of consecutive patients undergoing esophagogastroduodenoscopy (EGD), colonoscopy, and small bowel endoscopy for chronic diarrhea from 2008 to 2018 were reviewed. Small bowel endoscopy included push enteroscopy, balloon-assisted enteroscopy (BAE), and video capsule endoscopy (VCE). The diagnostic yield of each endoscopic modality and predictors for positive small bowel endoscopy were analyzed. Results A total of 550 patients were included. The mean age was 54 years, and 266 (46.3%) patients were male. The mean hemoglobin and albumin levels were 11.6 g/dL and 3.6 g/dL, respectively. EGD and colonoscopy were performed in 302 and 547 patients, respectively, and the diagnostic yield was 24/302 (7.9%) for EGD and 219/547 (40.0%) for colonoscopy. EGD did not reveal positive findings in any patients with normal colonoscopy. Fifty-one patients with normal EGD and colonoscopy underwent small bowel endoscopy. Push enteroscopy, BAE, and VCE were performed in 28, 21, and 19 patients with a diagnostic yield of 5/28 (17.9%), 14/21 (66.7%), and 8/19 (42.1%), respectively. Significant weight loss, edema, and hypoalbuminemia were independent predictors for the positive yield of small bowel endoscopy. Conclusion Colonoscopy was an essential diagnostic tool in identifying the cause of chronic diarrhea in Thai patients, whereas EGD provided some benefits. Small bowel endoscopy should be performed when colonoscopy and EGD were negative, particularly in patients with significant weight loss, edema, and hypoalbuminemia.Julajak LimsrivilaiChoompunuj SakjirapapongOnuma SattayalertyanyongTanawat GeeratragoolPhalat SathirawichAnanya PongpaibulPiyaporn ApisarnthanarakPhutthaphorn PhaophuNichcha SubdeePhunchai CharatcharoenwitthayaNonthalee PausawasdiBMCarticleDiagnostic yieldEsophagogastroduodenoscopyColonoscopySmall bowel endoscopyChronic diarrheaDiseases of the digestive system. GastroenterologyRC799-869ENBMC Gastroenterology, Vol 21, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diagnostic yield Esophagogastroduodenoscopy Colonoscopy Small bowel endoscopy Chronic diarrhea Diseases of the digestive system. Gastroenterology RC799-869
spellingShingle	Diagnostic yield Esophagogastroduodenoscopy Colonoscopy Small bowel endoscopy Chronic diarrhea Diseases of the digestive system. Gastroenterology RC799-869 Julajak Limsrivilai Choompunuj Sakjirapapong Onuma Sattayalertyanyong Tanawat Geeratragool Phalat Sathirawich Ananya Pongpaibul Piyaporn Apisarnthanarak Phutthaphorn Phaophu Nichcha Subdee Phunchai Charatcharoenwitthaya Nonthalee Pausawasdi Diagnostic yield of esophagogastroduodenoscopy, colonoscopy, and small bowel endoscopy in Thai adults with chronic diarrhea
description	Abstract Background Gastrointestinal endoscopy is frequently recommended for chronic diarrhea assessment in Western countries, but its benefit in the Southeast Asia region is not well established. Methods Medical records of consecutive patients undergoing esophagogastroduodenoscopy (EGD), colonoscopy, and small bowel endoscopy for chronic diarrhea from 2008 to 2018 were reviewed. Small bowel endoscopy included push enteroscopy, balloon-assisted enteroscopy (BAE), and video capsule endoscopy (VCE). The diagnostic yield of each endoscopic modality and predictors for positive small bowel endoscopy were analyzed. Results A total of 550 patients were included. The mean age was 54 years, and 266 (46.3%) patients were male. The mean hemoglobin and albumin levels were 11.6 g/dL and 3.6 g/dL, respectively. EGD and colonoscopy were performed in 302 and 547 patients, respectively, and the diagnostic yield was 24/302 (7.9%) for EGD and 219/547 (40.0%) for colonoscopy. EGD did not reveal positive findings in any patients with normal colonoscopy. Fifty-one patients with normal EGD and colonoscopy underwent small bowel endoscopy. Push enteroscopy, BAE, and VCE were performed in 28, 21, and 19 patients with a diagnostic yield of 5/28 (17.9%), 14/21 (66.7%), and 8/19 (42.1%), respectively. Significant weight loss, edema, and hypoalbuminemia were independent predictors for the positive yield of small bowel endoscopy. Conclusion Colonoscopy was an essential diagnostic tool in identifying the cause of chronic diarrhea in Thai patients, whereas EGD provided some benefits. Small bowel endoscopy should be performed when colonoscopy and EGD were negative, particularly in patients with significant weight loss, edema, and hypoalbuminemia.
format	article
author	Julajak Limsrivilai Choompunuj Sakjirapapong Onuma Sattayalertyanyong Tanawat Geeratragool Phalat Sathirawich Ananya Pongpaibul Piyaporn Apisarnthanarak Phutthaphorn Phaophu Nichcha Subdee Phunchai Charatcharoenwitthaya Nonthalee Pausawasdi
author_facet	Julajak Limsrivilai Choompunuj Sakjirapapong Onuma Sattayalertyanyong Tanawat Geeratragool Phalat Sathirawich Ananya Pongpaibul Piyaporn Apisarnthanarak Phutthaphorn Phaophu Nichcha Subdee Phunchai Charatcharoenwitthaya Nonthalee Pausawasdi
author_sort	Julajak Limsrivilai
title	Diagnostic yield of esophagogastroduodenoscopy, colonoscopy, and small bowel endoscopy in Thai adults with chronic diarrhea
title_short	Diagnostic yield of esophagogastroduodenoscopy, colonoscopy, and small bowel endoscopy in Thai adults with chronic diarrhea
title_full	Diagnostic yield of esophagogastroduodenoscopy, colonoscopy, and small bowel endoscopy in Thai adults with chronic diarrhea
title_fullStr	Diagnostic yield of esophagogastroduodenoscopy, colonoscopy, and small bowel endoscopy in Thai adults with chronic diarrhea
title_full_unstemmed	Diagnostic yield of esophagogastroduodenoscopy, colonoscopy, and small bowel endoscopy in Thai adults with chronic diarrhea
title_sort	diagnostic yield of esophagogastroduodenoscopy, colonoscopy, and small bowel endoscopy in thai adults with chronic diarrhea
publisher	BMC
publishDate	2021
url	https://doaj.org/article/a473ca5a1f8c4df28df202d944e8a6ca
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Diagnostic yield of esophagogastroduodenoscopy, colonoscopy, and small bowel endoscopy in Thai adults with chronic diarrhea

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