| The diagnosis and outcomes of persistent diarrhea in infants aged 0-24 months A Turkish cohort study. | |
| | |
MedLine Citation:
|
PMID: 21805416 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
Background/aims: Infantile persistent diarrhea series are not well documented in the literature. Evaluating the literature, the aim of this study was to document persistent diarrhea cases followed in our center and to constitute a practical diagnostic algorithm for the pediatrician by means of surveying methods. Methods: Diarrheas lasting more than 14 days were accepted as persistent diarrhea. Forty-one persistent diarrhea cases aged 0-24 months were investigated in this study. The cases were evaluated for the presence of mucus and/or leukocytes in stool and were thus divided into two major groups as colitis or enteropathies. For the differential diagnosis of the persistent colitis group, stool cultures, dietary restrictions, complete blood count, acute phase reactants, pathergy test, gene analysis for familial Mediterranean fever and Behçet's disease, colonoscopy, and biopsies were performed. In the persistent enteropathy group, differential diagnosis was made with the following tests: serum and stool electrolytes, arterial blood gases, serum albumin, total protein, lipid profile, stool alpha-1 antitrypsin level, stool pH, presence of stool fat and reducing substance, endoscopy, and biopsies. Results: The 27 persistent enteropathy cases included 7 celiac disease, 5 intestinal lymphangiectasia, 2 microvillus inclusion disease, 2 abetalipoproteinemia, and 11 cow's milk allergy. The 13 cases of the infantile colitis group included 1 Behçet's disease, 1 colitis ulcerosa and 11 cow's milk allergy. Two cases presenting as pancreatic insufficiency were diagnosed as cystic fibrosis. One case was diagnosed as cystic fibrosis plus cow's milk allergy. Conclusions: Reviewing the literature, these cases represent the largest non-infectious infantile group of persistent diarrheas. A practical diagnostic algorithm for persistent diarrheas has been constituted. |
| | |
Authors:
|
Odül Eğrıtaş; Sinan Sari; Buket Dalgiç; Aylar Poyraz; Arzu Ensarı |
Related Documents
:
|
15638986 - Spontaneous arteriovenous malformation of the external auditory meatus. 6582406 - Tracheo-oesophageal fistula in christchurch: a review. 3997976 - Arterio-venous fistula in the lower limb in consequence of fogarty balloon catheter emb... 942126 - Enteroenteric fistula secondary to pancreatic carcinoma: a case report. 11727376 - Traumatic atlanto-occipital dislocation with survival in children. 6610336 - Buoyancy of gallstones in varying concentrations of contrast media. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology Volume: 22 ISSN: 1300-4948 ISO Abbreviation: Turk J Gastroenterol Publication Date: 2011 Jun |
Date Detail:
|
Created Date: 2011-08-01 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9515841 Medline TA: Turk J Gastroenterol Country: Turkey |
Other Details:
|
Languages: eng Pagination: 260-9 Citation Subset: IM |
Affiliation:
|
Gazi University School of Medicine, Department of Pediatric Gastroenterology, Ankara, Turkey. odulmd2003@yahoo.com. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Do we adequately diagnose early gastric cancer in Turkey.
Next Document: Postprandial platelet-poor plasma 5-hydroxytryptamine concentrations during diarrhea and constipatio...