Endoscopy in HIV infected patients.

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dc.contributor.authorRerknimitr, Ren_US
dc.contributor.authorKullavanijaya, Pen_US
dc.date.accessioned2009-05-27T19:50:52Z
dc.date.available2009-05-27T19:50:52Z
dc.date.issued2001-06-01en_US
dc.descriptionChotmaihet Thangphaet. 26 references.en_US
dc.description.abstractHIV is a very common infection in Thailand, affecting about one million of the population already, with 99,555 persons with full blown AIDS at the end of 1999. The first case of AIDS was reported in Thailand in 1984. Gastrointestinal involvement is very common, the commonest presentations are diarrhea, esophageal symptoms, hepatobiliary symptoms, and weight loss. When the CD4+ T cell count falls below 200, the body becomes highly susceptible to opportunistic infections and neoplasms. Almost all AIDS patients will have GI symptoms at sometime during the course of their illness. This is because the GI tract contains an abundant quantity of lymphoid tissue and is likely to function as a reservoir of HIV infection. In chronic diarrhea cases, apart from other investigations, small bowel biopsy and aspiration may help to find the cause. If oral candidiasis is present, one should keep HIV in mind and look for oral hairy leucoplakia, dysphagia and odynophagia as one-third of patients with AIDS will develop dysphagia or odynophagia in the course of their disease. Those with esophageal candidiasis will usually have oral candidiasis and odynophagia while 18 per cent of the patients will not have oral thrush. CMV esophagitis and HIV ulcer (or idiopathic oesophageal ulcer) are also common. Upper gastrointestinal endoscopy and biopsy are helpful in finding the exact cause of the oesophageal symptoms. Hepatobiliary manifestations are present with jaundice, hepatomegaly, and pain. ERCP is very helpful in diagnosing and classifying these conditions. Papillary stenosis and dominant biliary stricture can be treated by endoscopy but long term results are still poor due to late manifestation of these conditions.en_US
dc.description.affiliationDepartment of Internal Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.en_US
dc.identifier.citationRerknimitr R, Kullavanijaya P. Endoscopy in HIV infected patients. Journal of the Medical Association of Thailand. 2001 Jun; 84 Suppl 1(): S26-31en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/41903
dc.language.isoengen_US
dc.source.urihttps://www.mat.or.th/journal/all.phpen_US
dc.subject.meshComorbidityen_US
dc.subject.meshEndoscopy, Digestive System --methodsen_US
dc.subject.meshFemaleen_US
dc.subject.meshGastrointestinal Diseases --diagnosisen_US
dc.subject.meshHIV Infections --diagnosisen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshSensitivity and Specificityen_US
dc.subject.meshThailand --epidemiologyen_US
dc.titleEndoscopy in HIV infected patients.en_US
dc.typeJournal Articleen_US
dc.typeReviewen_US
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