Diagnostic value of endoscopy for the diagnosis of giardiasis and other intestinal diseases in patients with persistent diarrhea from tropical or subtropical areas

Scandinavian Journal of Gastroenterology

Volumn 42, Issue 3, 2007, Pages 391-396

  Wahnschaffe, Ulrich ^a   Ignatius, Ralf ^a   Loddenkemper, Christoph ^a   Liesenfeld, Oliver ^a   Muehlen, Marion ^b   Jelinek, Thomas ^b   Burchard, Gerd Dieter ^c   Weinke, Thomas ^d   Harms, Gundel ^b   Stein, Harald ^a   Zeitz, Martin ^a   Ullrich, Reiner ^a   Schneider, Thomas ^a  

^a CHARITÉ UNIVERSITÄTSMEDIZIN BERLIN   (Germany)

^b Institute of Tropical Medicine   (Germany)

^c Bernard Nocht Institute   (Germany)

^d KLINIKUM ERNST VON BERGMANN   (Germany)

Author keywords

Chronic diarrhea; Diagnostic methods; Endoscopy; Giardia lamblia; Histology; Travelers; Tropical sprue; Villous atrophy

Indexed keywords

ADULT; ARTICLE; CLINICAL ARTICLE; COLONOSCOPY; CONTROLLED STUDY; DIAGNOSTIC ACCURACY; DIAGNOSTIC VALUE; DIARRHEA; DUODENUM BIOPSY; DUODENUM FLUID; ENTEROPATHY; FECES ANALYSIS; FEMALE; FLUORESCENT ANTIBODY TECHNIQUE; GASTROINTESTINAL ENDOSCOPY; GIARDIA LAMBLIA; GIARDIASIS; HISTOPATHOLOGY; HUMAN; MALE; PRIORITY JOURNAL; TROPICAL SPRUE; TROPICS;

ADULT; ANIMALS; BERLIN; CHRONIC DISEASE; DIARRHEA; DUODENUM; ENDOSCOPY, GASTROINTESTINAL; FECES; FEMALE; FLUORESCENT ANTIBODY TECHNIQUE, DIRECT; GASTROINTESTINAL CONTENTS; GIARDIASIS; HUMANS; INTESTINAL DISEASES; MALE; MIDDLE AGED; SENSITIVITY AND SPECIFICITY; SPRUE, TROPICAL; TRAVEL; TROPICAL CLIMATE;

EID: 33847216122     PISSN: 00365521     EISSN: 15027708     Source Type: Journal    
DOI: 10.1080/00365520600881193     Document Type: Article

References (16)

1. Al-Abri SS, Beeching NJ, Nye FJ. Traveller's diarrhoea. Lancet Infect Dis 2005;5:349-60.
2. DuPont HL, Capsuto EG. Persistent diarrhea in patients from tropical or subtropical areas. Clin Infect Dis 1996;22:124-8.
3. Addiss DG, Tauxe RV, Bernard KW. Chronic diarrhoeal illness in US Peace Corps volunteers. Int J Epidemiol 1990;19:217-8.
4. Ali SA, Hill DR. Giardia intestinalis. Curr Opin Infect Dis 2003;16:453-60.
5. Gray SF, Gunnell DJ, Peters TJ. Risk factors for giardiasis: a case-control study in Avon and Somerset. Epidemiol Infect 1994;113:95-102.
6. Hiatt RA, Markell EK, Ng E. How many stool examinations are necessary to detect pathogenic intestinal protozoa? Am J Trop Med Hyg 1995;53:36-9.
7. Garcia LS, Shimizu RY. Evaluation of nine immunoassay kits (enzyme immunoassay and direct fluorescence) for detection of Giardia lamblia and Cryptosporidium parvum in human fecal specimens. J Clin Microbiol 1997;35:1526-9.
8. Beal CB, Viens P, Grant RG, Hughes JM. A new technique for sampling duodenal contents: demonstration of upper small-bowel pathogens. Am J Trop Med Hyg 1970;19:349-52.
9. Goka AK, Rolston DD, Mathan VI, Farthing MJ. The relative merits of faecal and duodenal juice microscopy in the diagnosis of giardiasis. Trans R Soc Trop Med Hyg 1990;84:66-7.
10. Chester AC, MacMurray FG, Restifo MD, Mann O. Giardiasis as a chronic disease. Dig Dis Sci 1985;30:215-8.
11. Oberhuber G, Kastner N, Stolte M. Giardiasis: a histologic analysis of 567 cases. Scand J Gastroenterol 1997;32:48-51.
12. Gupta SK, Croffie JM, Pfefferkorn MD, Fitzgerald JF. Diagnostic yield of duodenal aspirate for G. lamblia and comparison to duodenal mucosal biopsies. Dig Dis Sci 2003;48:605-7.
13. Oberhuber G, Stolte M. Symptoms in patients with giardiasis undergoing upper gastrointestinal endoscopy. Endoscopy 1997;29:716-20.
14. Rodriguez LA, Ruigomez A. Increased risk of irritable bowel syndrome after bacterial gastroenteritis: cohort study. Br Med J 1999;318:565-6.
15. Spiller RC. Postinfectious irritable bowel syndrome. Gastroenterology 2003;124:1662-71.
16. Landzberg BR, Connor BA. Persistent diarrhea in the returning traveler: think beyond persistent infection. Scand J Gastroenterol 2005;40:112-4.