Çocuklarda Kronik İshale Tanı Yaklaşımları

Dışkılama sayısının günde 3 kez ve miktarının normalden fazla, kıvamının ise sulu olması hali “ishal diyare ” olarak tanımlanır 1 . Sağlıklı çocuklar günde 5-10 gr/kg, eriflkinler ise 100-200 gr/gün gaita yaparlar 2 .

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  • Fine KD, Schiller LR. AGA technical review on the evaluation and ma- nagement of chronic diarrhea. Gastroenterology. 1999;116:1464-86.
  • Baldassano RN, Liacouras CA. Chronic Diarrhea. Ped Clin North Am 1991;38:667-85.
  • Ulutan F. Akut ishalli hastaya yaklaflım. In:Topçu AW, Söyletir G, Doğa- nay M (eds). İnfeksiyon Hastalıkları, 1. Baskı. İstanbul Nobel Tıp Yayıne- vi, 1996:p.599-602.
  • Rhoads JM, Powell DW: Diarrhea. In:Walker WA, Durie PR, Hamilton JR, et al (eds): Pediatric Gatroenterointestinal Disease. Philadelphia, B. C. Decker Inc, 1990.
  • Fine KD, Krejs GJ, Fordtran JS. Diarrhea. In:Sleisenger MH, Fortran JS (eds). Gatroenterointestinal Disease. Philadelphia, Saunders Company. 1989, p.290-313.
  • Park SI, Gianella RA. Approach to the adult patient with acute diarrhea. Gastroenterol Clin North Am 1993;22: 483-97.
  • Yüce A. Kronik diyare. Katkı Pediatri dergisi: 1994:283-96.
  • Yurdakök K. Çocukluk çağı ishallerinde persistan ishalin önemi. Katkı Pediatri Dergisi, 1994:274-82.
  • Annotation Persistent Diarrhea. Update WHO Programme for CDD 1989;4:1.
  • Black RE. Peristent diarrhea in children of developing countries. Pedi- atr Infect Dis J 1993;12:731-61.
  • Lima AM, Fang G,Schorling JB et al. Persistent diarrhea in Northeast Brazil: etiolojies and interactions with malnutrition. ACTA Ped suppl 1992;381:39-44.
  • Branski D, Lerner A, Labenthal E. Chronic diarrhea and malabsorbtion. Ped Clin North Am 1996;43:307-31.
  • Ulshen M. The digestive system. In:Behrman RE, Kliegman RM, Jensen HB (eds) Nelson Texbook of Pediatrics. 16th Ed. Philadelphia: W.B. Sa- unders Company, 2000:1171-76.
  • Seidman E. Diarrhoel disorders. In:Roy CC, Silverman A, Allagille D (eds) Pediatric Clinical Gastroenterology 4th Ed. Mosby: 1995:216-99.
  • WHO CDD/DDM/85. 1 Diarrhoeal Diseases Control Programme. Persis- tent diarrhoea in children-research priorities.
  • Eherer AJ, Fordrant JS. Fecal osmotic gap and pH in experimental di- arrhoea of various causes. Gastroenterology 1992;103:545-51.
  • Fine KD. The prevalance of occult gastrointestinal bleeding in celiac sprue. N Engl J Med 1996;334:1163-67.
  • Khouri MR, Huang G, Shiau YF. Sudan stain of fecal fat: new insight in- to an old test. Gastroenterology 1989;96:421-27.
  • Horing E, Gopfert D, Schroter G, von Gaisberg U. Frequency and spect- rum of microorganisms isolated from biopsy specimens in chronic coli- tis. Endoscopy 1991;23:325-27.
  • Diner WC, Hoskins EOL, Navab F. Radiologic examination of the small intestine: review of 402 cases and discussion of indications and met- hods. South Med J 1984;77:68-74.
  • Sherman PM, Mitchell DJ, Cutz E. Neonatal enteropathies: Defining the causes of protracted diarrhoea of infancy. J Pediatr Gastroenterol Nutr 2004;38:16-26.
  • Groisman GM, Amar M, Livne E. CD10: a valuable tool for the light mic- roskopic diagnosis of microvillus inclusion disease (familial microvillus atrophy). Am J Surg Pathol 2002;26:902-7.
  • Artan R. VI. Kronik ishalde tanı yaklaflımları. Ulusal Çocuk Gastroen- teroloji, Hepatoloji ve Beslenme Kongresi. Özet Kitabı. 5-7 Mayıs 2004; 85-6.