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Michael Camilleri  Clinical Gastroenterology and Hepatology 

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Presentation on theme: "Michael Camilleri  Clinical Gastroenterology and Hepatology "— Presentation transcript:

1 Chronic diarrhea: a review on pathophysiology and management for the clinical gastroenterologist 
Michael Camilleri  Clinical Gastroenterology and Hepatology  Volume 2, Issue 3, Pages (March 2004) DOI: /S (04)

2 Figure 1 Carcinoid diarrhea causing rapid colonic transit of isotope. Note that in 2 hours, isotope has moved from cecum to rectum. (Reprinted with permission from von der Ohe et al.23 Copyright© 1993 Massachusetts Medical Society. All rights reserved.) Inset above: Note the H&E appearance of carcinoid tumors with sheets of well-defined cells. Inset below: Note the chromogranin-positive cells demonstrating the presence of secretory granules within the carcinoid tumor cells. Clinical Gastroenterology and Hepatology 2004 2, DOI: ( /S (04) )

3 Figure 2 Initial management algorithm based on features accompanying diarrhea. p.r., per rectum; IBS, irritable bowel syndrome. Clinical Gastroenterology and Hepatology 2004 2, DOI: ( /S (04) )

4 Figure 3 Algorithm for management when abnormal findings are identified on limited screen for organic disease. Hb, hemoglobin; Alb, albumin; MCV, mean corpuscular volume; MCH, mean corpuscular hemoglobin; OSM, osmolality. Clinical Gastroenterology and Hepatology 2004 2, DOI: ( /S (04) )


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