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Cost analysis of diagnostic endoscopic procedures for chronic diarrhoea

Kim, Woo Jae
Abdelrahman, Shadi
Daneshyar, Adam
Ismayl, Ghiath
Odogwu, Steve
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Russells Hall Hospital; Walsall Healthcare NHS Trust
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2021-11-30
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Abstract
Chronic diarrhoea is a common condition that affects up to 5% of the population which heavily affects the quality of life for the patient. The British Society of Gastroenterology guidelines recommend that for those who suffer with chronic diarrhoea, a colonoscopy with a biopsy is recommended to exclude microscopic colitis. This retrospective audit included 147 patients who received endoscopic procedures in 2019 at Walsall Manor Hospital for chronic diarrhoea. The results show that a total of £56,797 was incurred through endoscopic and histological investigation with four patients (2.6%) diagnosed with microscopic colitis. Given the lack of diagnostic yield, there is room for advancement in the current guidelines for managing persistent diarrhoea.
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Kim WJ, Abdelrahman S, Daneshyar A, Ismayl G, Odogwu S. Cost Analysis of Diagnostic Endoscopic Procedures for Chronic Diarrhoea. Cureus. 2021 Nov 30;13(11):e20039.
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