Role of Endoscopy in the Investigation of Upper Gastrointestinal Symptoms in HIV-Infected Patients
Endoscopy plays a pivotal role in the management of patients with the acquired immunodeficiency syndrome (AIDS), because tissue documentation of opportunistic processes is often necessary to establish a definitive diagnosis. With progression of immunodeficiency, endoscopy becomes more important beca...
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| Format: | Article |
| Language: | English |
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Wiley
1999-01-01
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| Series: | Canadian Journal of Gastroenterology |
| Online Access: | http://dx.doi.org/10.1155/1999/418170 |
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| _version_ | 1832567698355126272 |
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| author | C Mel Wilcox |
| author_facet | C Mel Wilcox |
| author_sort | C Mel Wilcox |
| collection | DOAJ |
| description | Endoscopy plays a pivotal role in the management of patients with the acquired immunodeficiency syndrome (AIDS), because tissue documentation of opportunistic processes is often necessary to establish a definitive diagnosis. With progression of immunodeficiency, endoscopy becomes more important because the predisposition to opportunistic disorders of the gastrointestinal tract is greatly increased. The yield of upper endoscopy in human immunodeficiency virus (HIV)-infected patients is dependent upon the indication for the procedure, including the clinical presentation and the stage of immunodeficiency. Indications for which endoscopy has a high yield include AIDS with esophageal symptoms refractory to empirical antifungal therapy, small bowel biopsy for chronic severe diarrhea and upper gastrointestinal bleeding. Although processes can be identified, a diagnosis is less likely in patients who present with nausea and vomiting or nonspecific abdominal pain. By tailoring the use of endoscopy to the presenting symptoms and CD4 lymphocyte count, the diagnostic benefit can be increased. |
| format | Article |
| id | doaj-art-fd1f47e98e654030926896e9d8226763 |
| institution | Kabale University |
| issn | 0835-7900 |
| language | English |
| publishDate | 1999-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Canadian Journal of Gastroenterology |
| spelling | doaj-art-fd1f47e98e654030926896e9d82267632025-02-03T01:00:52ZengWileyCanadian Journal of Gastroenterology0835-79001999-01-0113430531010.1155/1999/418170Role of Endoscopy in the Investigation of Upper Gastrointestinal Symptoms in HIV-Infected PatientsC Mel Wilcox0Department of Medicine, Division of Gastroenterology and Hepatology, The University of Alabama at Birmingham, Birmingham, Alabama, CanadaEndoscopy plays a pivotal role in the management of patients with the acquired immunodeficiency syndrome (AIDS), because tissue documentation of opportunistic processes is often necessary to establish a definitive diagnosis. With progression of immunodeficiency, endoscopy becomes more important because the predisposition to opportunistic disorders of the gastrointestinal tract is greatly increased. The yield of upper endoscopy in human immunodeficiency virus (HIV)-infected patients is dependent upon the indication for the procedure, including the clinical presentation and the stage of immunodeficiency. Indications for which endoscopy has a high yield include AIDS with esophageal symptoms refractory to empirical antifungal therapy, small bowel biopsy for chronic severe diarrhea and upper gastrointestinal bleeding. Although processes can be identified, a diagnosis is less likely in patients who present with nausea and vomiting or nonspecific abdominal pain. By tailoring the use of endoscopy to the presenting symptoms and CD4 lymphocyte count, the diagnostic benefit can be increased.http://dx.doi.org/10.1155/1999/418170 |
| spellingShingle | C Mel Wilcox Role of Endoscopy in the Investigation of Upper Gastrointestinal Symptoms in HIV-Infected Patients Canadian Journal of Gastroenterology |
| title | Role of Endoscopy in the Investigation of Upper Gastrointestinal Symptoms in HIV-Infected Patients |
| title_full | Role of Endoscopy in the Investigation of Upper Gastrointestinal Symptoms in HIV-Infected Patients |
| title_fullStr | Role of Endoscopy in the Investigation of Upper Gastrointestinal Symptoms in HIV-Infected Patients |
| title_full_unstemmed | Role of Endoscopy in the Investigation of Upper Gastrointestinal Symptoms in HIV-Infected Patients |
| title_short | Role of Endoscopy in the Investigation of Upper Gastrointestinal Symptoms in HIV-Infected Patients |
| title_sort | role of endoscopy in the investigation of upper gastrointestinal symptoms in hiv infected patients |
| url | http://dx.doi.org/10.1155/1999/418170 |
| work_keys_str_mv | AT cmelwilcox roleofendoscopyintheinvestigationofuppergastrointestinalsymptomsinhivinfectedpatients |