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Table 2 Etiology of chronic diarrhea in this cohort

From: Diagnostic yield of esophagogastroduodenoscopy, colonoscopy, and small bowel endoscopy in Thai adults with chronic diarrhea

Diseases

Number of patients (%)

(N = 550)

Infections

 Parasites/Protozoa

27 (4.91%)

 Tuberculosis

19 (3.45%)

 Cytomegalovirus

19 (3.45%)

 Clostridium difficile infection*

8 (1.45%)

 Bacteria other than C. difficile

5 (0.91%)

Neoplasm

 Colonic adenocarcinoma

40 (7.27%)

 Gastrointestinal lymphoma

9 (1.64%)

 Polyposis syndrome (Peutz-Jeghers syndrome, Cronkhite-Canada syndrome)

2 (0.36%)

Inflammatory bowel disease

 Crohn’s disease

20 (3.64%)

 Ulcerative colitis

31 (5.64%)

Microscopic colitis

5 (0.91%)

Systemic autoimmune diseases

 Systemic lupus erythematosus

5 (0.91%)

 Behcet’s disease

3 (0.55%)

Drugs

 Nonsteroidal anti-inflammatory agents

14 (2.55%)

 Chemotherapy/targeted therapy

9 (1.64%)

 Others e.g. colchicine, metformin

7 (1.27%)

Eosinophilic gastroenteritis

24 (4.36%)

Radiation enterocolitis

7 (1.27%)

Ischemic enterocolitis

3 (0.55%)

Graft-versus-host diseases

4 (0.73%)

Gastrointestinal amyloidosis

3 (0.55%)

Small intestinal bacterial overgrowth

21 (3.82%)

Pancreatic diseases

 Chronic pancreatitis

6 (1.09%)

 Pancreatic cancer

4 (0.73%)

 Status post pancreatic resection

1 (0.18%)

Endocrinologic diseases

 Diabetic diarrhea

16 (2.91%)

 Hyperthyroidism

3 (0.55%)

 Adrenal insufficiency

2 (0.36%)

Bile salt diarrhea

4 (0.73%)

Lactose intolerance

2 (0.36%)

Irritable bowel syndrome

215 (39.09%)

Idiopathic ulcers of intestine

4 (0.73%)

Idiopathic diarrhea

2 (0.36%)

Others (1 per each etiology): tropical sprue, intestinal lymphangiectasia, systemic mastocytosis, mesenteric neuroendocrine tumor, chronic diverticulitis, portal hypertensive colopathy)

6 (1.09%)

  1. EGD esophagogastroduodenoscopy, SD standard deviation, IQR interquartile range
  2. *Presumed Clostridium difficile infection was defined as endoscopic findings of pseudomembranous colitis with response to metronidazole or oral vancomycin