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Indications and Relative Utility of Lower Endoscopy in the Management of Clostridium difficile Infection
Joint Authors
Kwaan, Mary R.
Rothenberger, David A.
Wang, Yan
Burkart, Nora E.
Shepela, Christopher J.
Madoff, Robert D.
Melton-Meaux, Genevieve B.
Source
Gastroenterology Research and Practice
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-10-17
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Background.
Diagnosis and management of Clostridium difficile infection (CDI) rely upon clinical assessments and diagnostic studies.
Among diagnostic tests, lower gastrointestinal (GI) endoscopy in the setting of CDI remains controversial.
Objective.
To describe the role of lower endoscopy in CDI management.
Methods.
Retrospective study of lower endoscopies in CDI at four metropolitan hospitals, July 2005 through December 2007.
Results.
Of 1760 CDI inpatients, 45 lower endoscopies were performed on 43 patients.
Most common indications were ruling out other etiologies (42%), inconclusive stool studies (36%), and worsening course (11%).
Most endoscopies (73%) had positive findings, including pseudomembranous colitis (49%) and nonspecific colitis (24%).
Biopsies were performed in 31 cases, more with nonspecific colitis (10/11, 92%) compared to pseudomembranous colitis (14/22, 64%).
Conclusion.
While not recommended as a primary screening tool, lower GI endoscopy can add valuable information in CDI when other colonic pathologies may exist, studies are inconclusive, or clinical status worsens.
American Psychological Association (APA)
Burkart, Nora E.& Kwaan, Mary R.& Shepela, Christopher J.& Madoff, Robert D.& Wang, Yan& Rothenberger, David A.…[et al.]. 2011. Indications and Relative Utility of Lower Endoscopy in the Management of Clostridium difficile Infection. Gastroenterology Research and Practice،Vol. 2011, no. 2011, pp.1-7.
https://search.emarefa.net/detail/BIM-486223
Modern Language Association (MLA)
Burkart, Nora E.…[et al.]. Indications and Relative Utility of Lower Endoscopy in the Management of Clostridium difficile Infection. Gastroenterology Research and Practice No. 2011 (2011), pp.1-7.
https://search.emarefa.net/detail/BIM-486223
American Medical Association (AMA)
Burkart, Nora E.& Kwaan, Mary R.& Shepela, Christopher J.& Madoff, Robert D.& Wang, Yan& Rothenberger, David A.…[et al.]. Indications and Relative Utility of Lower Endoscopy in the Management of Clostridium difficile Infection. Gastroenterology Research and Practice. 2011. Vol. 2011, no. 2011, pp.1-7.
https://search.emarefa.net/detail/BIM-486223
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-486223