Shujing Jane Lim
St James's University Hospital
Internal medicineSeHCATCholecystectomyBile acid sequestrantDiseaseBile acidDiarrheaChronic diarrheaFollow up studiesMedicine
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#1Shujing Jane Lim (St James's University Hospital)H-Index: 1
#2David J. Gracie (University of Leeds)H-Index: 16
Last. Christopher J Black (University of Leeds)H-Index: 12
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BACKGROUND: 23-seleno-25-homo-tauro-cholic acid (SeHCAT) scanning to rule out bile acid diarrhea (BAD) in patients with chronic diarrhea has a high yield. Our previous study showed that patients with terminal ileal (TI) Crohn's disease, TI resection, or cholecystectomy were highly likely to have an abnormal scan. As a result, we encouraged clinicians to use a therapeutic trial of a bile acid sequestrant in these patients, instead of scanning. This may have reduced diagnostic yield of the test, s...
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