Diagnostic value of fecal leukocytes in chronic bowel diseases
Keywords:
Fecal leukocytes, lnflammatory bowel disease, Exsudative bowel diseaseAbstract
To evaluate the importance of fecal leukocytes, 42 patients who showed signs oi fecal leukocytes (++ or +++) were studied. Their endoscopic examinations with biopsy and/or radiology of the colon showed the following diagnoses: 33 had ulceralive colitis, four had colonic adenocarcinoma, two had Crohn's dlsease, two had amebic colitis and one had eosinophilic colitis. The presence oi fecal leukocytes allowed for lhe diagnosis oi colon disease in ali lhe patients, and it might indicate exudative bowel disease. These results suggest that whenever fecal leukocytes are found in the teces, an examination for colon disease should be made.
Downloads
References
BEARZOTI, P. & REIS FILHO, I. - O exame direto a fresco das fezes nas diarreias infantis. Pediatria Prática, 41: 321-324, 1970.
DRUMMEY, G. D.; BENSON Jr., J.A. & JONES, M. C. - Microscopic examination of the stool for steatorrhea. N Eng J Med, 264: 85-7, 1961.
FEINBERG, S. N. - A simple method for cytologic examina-tion of diarrheal stools. Am J Pathol, 57: 387-390, 1972.
HARRIS, J. C.; DUPONT, H. L. & HORNICK, R. B. - Fecal leukocytes in diarrheal illness. Ann Int Med, 76: 697-703, 1972.
LEDDIN, D. J.; PATTERSON, W. G. & DACOSTA, L. R.; et al. - Indium-111 labeled autologous leukocyte imaging and fecal excretion. Comparison with conventional meth-ods of assessment of inflammatory bowel disease; Dig Dis Sci, 32: 387, 1987.
McAFEE, J. G.; GAGNE, G. M. & SUBRAMANIAN, G.; et al. - Distribution of leukocytes labeled with Indium-ill oxine in dogs with acute inflammatory lesions. J Nucl Med, 21: 1059-1068, 1980.
PEREIRA, A. S.; MAGALHÃES, A. F. N. & PEREIRA FILHO, R. A. - O valor do exame direto das fezes nas diarreias infantis. Pediatrics Congresses (XI Panamericano and IV Latinoamericano), São Paulo, 1975.
PINK, I. J.; CROFT, D. N. & CREAMER, B. - Cell loss from small intestinal mucosa: a morphological study. Gut, 11: 217-222, 1970.
SAVERYMUTTU, S. H.; PETERS, A. M.; LAVENDER, J. P.; et al. -Indium-111 labeled autologous leukocytes in inflammatory bowel disase (abstract). Gastroenterology, 80: 1273, 1981.
SAVERYMUTTU, S. H.; PETERS, A. M.; LAVENDER, J. P.; et al. - Quantitative fecal Indium-111 labeled leukocyte excretion in assessment of disease in Crohn's disease. Gastroenterology, 85: 1333-1339, 1983.
SEGAL, A. W.; MUNRO, J. R.; ENSELL, J.; et al. - Indium-111 tagged leukocytes in the diagnosis of inflammatory bowel disease. Lancet, 2: 230-232, 1981.
VILELA, M. P. -Sindromes coprologicas. São Paulo, Sarvier, 2ª ed., 40-41, 1967.
