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Gastroenterol Hepatol ; 39(8): 535-59, 2016 Oct.
Artículo en Español | MEDLINE | ID: mdl-26610769

RESUMEN

Chronic diarrhoea is a common presenting symptom in both primary care medicine and in specialized gastroenterology clinics. It is estimated that >5% of the population has chronic diarrhoea and nearly 40% of these patients are older than 60 years. Clinicians often need to select the best diagnostic approach to these patients and choose between the multiple diagnostic tests available. In 2014 the Catalan Society of Gastroenterology formed a working group with the main objective of creating diagnostic algorithms based on clinical practice and to evaluate diagnostic tests and the scientific evidence available for their use. The GRADE system was used to classify scientific evidence and strength of recommendations. The consensus document contains 28 recommendations and 6 diagnostic algorithms. The document also describes criteria for referral from primary to specialized care.


Asunto(s)
Diarrea , Algoritmos , Antidiarreicos/uso terapéutico , Enfermedad Crónica , Colitis/complicaciones , Colitis/diagnóstico , Técnicas de Diagnóstico del Sistema Digestivo , Diarrea/clasificación , Diarrea/diagnóstico , Diarrea/etiología , Diarrea/terapia , Dieta , Azúcares de la Dieta/efectos adversos , Manejo de la Enfermedad , Insuficiencia Pancreática Exocrina/complicaciones , Insuficiencia Pancreática Exocrina/diagnóstico , Hipersensibilidad a los Alimentos/complicaciones , Hipersensibilidad a los Alimentos/diagnóstico , Enfermedades Gastrointestinales/diagnóstico , Microbioma Gastrointestinal , Motilidad Gastrointestinal , Humanos , Síndromes de Malabsorción/complicaciones , Síndromes de Malabsorción/diagnóstico
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