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Review
. 2019 Sep 25;54(3):141-148.
doi: 10.14744/TurkPediatriArs.2018.00483. eCollection 2019.

The importance of stool tests in diagnosis and follow-up of gastrointestinal disorders in children

Affiliations
Review

The importance of stool tests in diagnosis and follow-up of gastrointestinal disorders in children

Erhun Kasırga. Turk Pediatri Ars. .

Abstract

Stool is not just a simple waste material. Some stool tests can be easily used in primary care in the differential diagnosis of disorders such as gastrointestinal infections, malabsorption syndromes, and inflammatory bowel diseases. Stool tests can prevent unnecessary laboratory investigations. Stool analyses include microscopic examination, chemical, immunologic, and microbiologic tests. Stool samples can be examined for leukocytes, occult blood, fat, sugars (reducing substances), pH, pancreatic enzymes, alpha-1 antitrypsin, calprotectin, and infectious causes (bacteria, viruses, and parasites). Stool should also be macroscopically checked in terms of color, consistency, quantity, shape, odor, and mucus.

Dışkı yalnızca basit bir atık değildir. Bazı dışkı testleri sindirim sistemi enfeksiyonları, malabsorpsiyon sendromları ve inflamatuvar bağırsak hastalıkları gibi hastalıkların ayırıcı tanısında birinci basamak sağlık hizmetlerinde kolaylıkla kullanılabilir. Dışkı testleri sayesinde gereksiz laboratuvar incelemeleri önlenebilir. Dışkı incelemeleri arasında mikroskobik inceleme, kimyasal, immünolojik ve mikrobiyolojik testler vardır. Dışkı örneği; lökosit, gizli kan, yağ, indirgeyici maddeler olarak adlandırılan şekerler, pH, pankreas enzimleri, alfa-1 antitripsin, kalprotektin ve enfeksiyöz nedenler (bakteri, virüs ve parazitler) açısından incelenebilir. Dışkı renk, kıvam, miktar, şekil, koku ve mukus varlığı açısından da makroskobik olarak kontrol edilmelidir.

Keywords: Children; gastrointestinal disorders; stool tests.

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Conflict of interest statement

Conflict of Interest: The author did not report any conflict of interest.

Figures

Figure 1
Figure 1
Stool color card used for screening biliary atresia in infants
Figure 2
Figure 2
Modified Bristol stool scale

References

    1. Lien TH, Chang MH, Wu JF, et al. Effects of the infant stool color card screening program on 5-year outcome of biliary atresia in Taiwan. Hepatology. 2011;53:202–8. - PubMed
    1. Lewis SJ, Heaton KW. Stool form scale as a useful guide to intestinal transit time. Scand J Gastroenterol. 1997;32:920–4. - PubMed
    1. Chumpitazi BP, Lane MM, Czyzewski DI, et al. Creation and initial evaluation of a Stool Form Scale for children. J Pediatr. 2010;157:594–7. - PMC - PubMed
    1. Gill CJ, Lau J, Gorbach SL, et al. Diagnostic accuracy of stool assays for inflammatory bacterial gastroenteritis in developed and resource-poor countries. Clin Infect Dis. 2003;37:365–75. - PubMed
    1. Vandenberg O, Van Laethem Y, Souayah H, et al. Improvement of routine diagnosis of intestinal parasites with multiple sampling and SAF-fixative in the triple-faeces-test. Acta Gastroenterol Belg. 2006;69:361–6. - PubMed

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