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Related Concept Videos

Chronic Bowel Disorders: Introduction01:17

Chronic Bowel Disorders: Introduction

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Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
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The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
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Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
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Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
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[Chronic diarrhoea: Definition, classification and diagnosis].

Fernando Fernández-Bañares1, Anna Accarino2, Agustín Balboa3

  • 1Servicios de Digestivo, Hospital Universitari Mútua de Terrassa, Terrassa, Barcelona, España; Centro de Investigaciones Biomédicas en Red de Enfermedades Hepáticas y Digestivas (CIBEREHD), España.

Gastroenterologia Y Hepatologia
|November 28, 2015
PubMed
Summary

This study provides diagnostic algorithms for chronic diarrhoea, a common condition affecting over 5% of the population, particularly those over 60. It offers evidence-based recommendations for clinicians to improve patient diagnosis and care.

Keywords:
Chronic diarrhoeaConsensus documentDiarrea crónicaDocumento de consensoEvidence-based recommendationsGRADE systemRecomendaciones basadas en la evidenciaSistema GRADE

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Area of Science:

  • Gastroenterology
  • Clinical Medicine
  • Evidence-Based Practice

Background:

  • Chronic diarrhoea affects over 5% of the population, with nearly 40% of patients older than 60.
  • Effective diagnostic approaches are crucial for managing chronic diarrhoea in primary and specialized care settings.
  • Selecting appropriate diagnostic tests requires careful consideration of available evidence.

Framework:

  • A working group by the Catalan Society of Gastroenterology developed diagnostic algorithms.
  • The GRADE system was employed to classify scientific evidence and recommendation strength.
  • The consensus includes 28 recommendations and 6 diagnostic algorithms.

Implementation:

  • Algorithms are based on clinical practice and evaluated diagnostic tests.
  • The document guides clinicians in selecting the best diagnostic strategies.
  • Criteria for referral from primary to specialized care are outlined.

Implications:

  • Provides a standardized, evidence-based approach to diagnosing chronic diarrhoea.
  • Aims to improve diagnostic accuracy and patient outcomes in gastroenterology.
  • Facilitates better decision-making for clinicians managing chronic diarrhoea patients.