A Review of Colonoscopy in Intestinal Diseases

Hong, Seung Min; Baek, Dong Hoon

doi:10.3390/diagnostics13071262

Cited by 4 publications

(2 citation statements)

References 222 publications

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“…38 However, histologic lesions are typical of diseases of the gastrointestinal tract, with symptoms shared by pediatric patients with CMPA. 39,40 Experts agreed that endoscopy and colonoscopy can be useful tools for excluding other diseases or when the evolution of symptoms is not as expected after adequate dietary treatment. Therefore, these tests can be used as differential diagnostic tests for CMPA.…”

Section: Other Diagnostic Testsmentioning

confidence: 99%

Mexican consensus on cow’s milk protein allergy

Ramírez Mayans,

Ignorosa Arellano,

Toro Monjaraz

et al. 2024

Allergol Immunopathol

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Background: The aim of this study is to present the current views of a diverse group of experts on the diagnosis and treatment of Cow’s Milk Protein Allergy (CMPA) in children under 2 years of age in Mexico. Material and methods: The study, led by a scientific committee of five experts in CMPA, was divided into six phases, including a modified Delphi process. A total of 20 panelists, all of whom were pediatric specialists, participated in administering a comprehensive 38-item questionnaire. The questionnaire was divided into two blocks: Diagnosis and Treatment (20 items each). Results: Consensus was reached on all the proposed items, with an agreement rate of over 70% for each of them. As a result, a diagnostic and treatment algorithm was developed that emphasized the reduction of unnecessary diagnostic studies and encouraged breastfeeding whenever possible. In cases where breast milk is not available, appropriate use of hypoallergenic formulas was recommended. In addition, recommendations on treatment duration and gradual reintroduction of cow’s milk protein were provided. Conclusions: The recommendations endorsed by 20 Mexican pediatricians through this study are applicable to everyday clinical practice, thereby enhancing the diagnosis and treatment of children under 2 years of age with CMPA. This, in turn, will foster improved health outcomes and optimize the utilization of healthcare resources.

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Section: Other Diagnostic Testsmentioning

confidence: 99%

Mexican consensus on cow’s milk protein allergy

Ramírez Mayans,

Ignorosa Arellano,

Toro Monjaraz

et al. 2024

Allergol Immunopathol

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show abstract

“…Endoscopies are used to diagnose various GI disorders, including ulcers, polyps, inflammation, bleeding, and cancer. Furthermore, they allow therapeutic procedures like polyp excision, hemorrhage management, and stent implantation [2]. In the general population, they are regarded as reasonably safe, with the incidence of adverse events (AE) increasing with procedure complexity.…”

Section: Introductionmentioning

confidence: 99%

Endoscopy of Low BMI Patients Compared to Normal BMI Patients: A Study From the Asser Region, Saudi Arabia

Al-Hagawi,

Alqahtani,

Nasser Alsharif

et al. 2024

Cureus

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Gastrointestinal (GI) endoscopies are essential for detecting and treating various digestive tract problems. While typically safe, these treatments can entail the risk of severe adverse events (SAEs), especially in individuals with a low body mass index (BMI). The current study aimed to evaluate whether post-endoscopy SAEs are more common in patients with low BMI and find risk factors for serious adverse outcomes in Saudi Arabian patients from Khamis Mushait, Aseer region, Saudi Arabia. The data of 398 adult patients with abdominal endoscopies between April and November 2023 were analyzed. Patients were divided into two groups: low BMI (BMI ≤ 18.5) and control (18.5 ≤ BMI ≤ 30). They were matched for age, gender, comorbidities, endoscopy type, and other pertinent characteristics. Low-BMI patients (Group I, n = 108) were substantially younger and had lower levels of albumin and total protein than the control group (Group II, n = 209). Comorbidities varied between groups, with diabetes mellitus more prevalent in Group II and inflammatory bowel disease (IBD) more commonplace in Group I. Treatment options also differed, with Group I receiving more biological treatments, steroids, and feeding tubes. Endoscopic procedures and indications were comparable among groups, with no significant variations in post-endoscopy complications. The endoscopy results varied from gastritis to colon malignancy, with no SAEs recorded in either group. Unlike earlier findings, this study found no higher incidence of SAEs in low-BMI individuals having abdominal endoscopy. This might be because of the restricted guidelines of different medical authorities, including clear informed consent that illustrates any risks, benefits, alternatives, sedation plan, and potential diagnostic or therapeutic interventions. Also, professional endoscopists and consultants who ensure adequate visualization of the GI mucosa, using mucosal cleansing and insufflation as necessary, should avoid any risk of abdominal hemorrhage. These findings highlight the significance of personalized risk assessment and pre-procedural optimization, including nutritional assistance, in this patient population. More prospective research with larger sample sizes is needed to validate these findings and create targeted techniques for improving outcomes in individuals with a low BMI having endoscopic operations.

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Amoebic colitis-A diagnostic challenge on endoscopy: Case report

Waheed,

Raman

2024

SAGE Open Medical Case Reports

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Amoebic colitis remains a diagnostic challenge on colonoscopy given that its features resemble that of inflammatory bowel disease. We describe a similar case of a 66 years old male patient with multiple comorbidities including morbid obesity, end-stage renal disease requiring haemodialysis, IHD with PCI, T2DM, HTN and new onset dry cough for which he received a short course of steroids. He presented to the colorectal clinic with bleeding and mucus discharge per-rectum with no other symptoms related to bowel and non-specific colonoscopy findings with amoebic colitis only confirmed on histological diagnosis. The patient was commenced on a course of Metronidazole and followed up on first and sixth month after treatment where he remained well and reported no further symptoms.

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A Review of Colonoscopy in Intestinal Diseases

Cited by 4 publications

References 222 publications

Mexican consensus on cow’s milk protein allergy

Mexican consensus on cow’s milk protein allergy

Endoscopy of Low BMI Patients Compared to Normal BMI Patients: A Study From the Asser Region, Saudi Arabia

Amoebic colitis-A diagnostic challenge on endoscopy: Case report

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