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Diagnosis of occult gastrointestinal lesions by stool guaiac testing in a geriatric hospital.

Diagnosis of occult gastrointestinal lesions by stool guaiac testing in a geriatric hospital. Research Abstract Details 

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  • Diagnosis of occult gastrointestinal lesions by stool guaiac testing in a geriatric hospital. Abstract Text:

    In a long-term care facility, the fecal guaiac test for occult blood was used as a screening method to detect gastrointestinal (GI) bleeding lesions. The study involved 450 chronically ill hospitalized patients whose average age was 70 years. Each underwent 6 fecal guaiac tests for three consecutive days while receiving a standardized meat-free, high-fiber diet. The 21 patients in whom the fecal hemoccult test yielded positive findings were further studied with x-ray upper GI series, barium enema, and fiberoptic examination of the upper and lower GI tract when necessary. In 4.7 percent of this population, the guaiac test gave positive results, which usually involved only 1 or 2 of the 6 guaiac slides. On further study it was found that 2 patients had large-bowel tumors, 5 had duodenal ulcers, 1 had gastric cancer, and 7 had diverticulosis. The incidence of colon cancer in this population was the same as that reported in other studies, but the incidence of duodenal ulcers was high. In 20 of the 21 patients with positive test findings, a lesion of the GI tract was found. The therapeutic implications of such screening are important. This study emphasizes the value of routine fecal hemoccult testing of whole institutional populations once or twice a year.

    Diagnosis of occult gastrointestinal lesions by stool guaiac testing in a geriatric hospital. Publishing Authors By Initials

    For similar diagnosis: laboratory techniques and procedures: occult blood research abstracts see: diagnosis: laboratory techniques and procedures: occult blood research

    PUBMED ID PMID:

    MEDLINE DATE:

    Diagnosis of occult gastrointestinal lesions by stool guaiac testing in a geriatric hospital. Journal Published:

    PUBLICATION TYPE: Journal Article

    Journal: Journal of the American Geriatrics Society

    VOLUME: 29

    Page Numbers: 473-5

    Journal Abbreviation: J Am Geriatr Soc

    ISSN: 0002-8614

    DAY: 10

    MONTH: Oct

    YEAR: 1981

    Diagnosis of occult gastrointestinal lesions by stool guaiac testing in a geriatric hospital. Information

    Number of References:

    LANGUAGE: eng

    NlmUniqueID: 7503062

    Diagnosis of occult gastrointestinal lesions by stool guaiac testing in a geriatric hospital. Keywords Mesh Terms:

    KEYWORDS: Occult Blood

    MESH TERMS: diagnostic use

    Chemical & Substance for Abstract: Diagnosis of occult gastrointestinal lesions by stool guaiac testing in a geriatric hospital. Information

    Substance Name: Guaiac

    Registry Number: 9000-29-7

    Grant and Affiliation Information for Diagnosis of occult gastrointestinal lesions by stool guaiac testing in a geriatric hospital.

    AFFILIATION:

    Country: UNITED STATES

    UNITED STATES Research PublicationUNITED STATES Research Publication

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    GRANT:

    ACRONYM:

    MEDLINETA: J Am Geriatr Soc

    REFSOURCE:

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    ACCESSION NUMBER:

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