Expert opinion

Professor David S. Sanders

Consultant Gastroenterologist and Professor, Royal Hallamshire Hospital and the University of Sheffield, Sheffield, UK

Professor David S. Sanders

What is the overall benefit for clinicians of an early diagnosis of bile acid diarrhoea?



The benefit is quite significant, both for the physician and for the patient. For physicians, it provides the possibility to avoid numerous diagnostic tests. For example, when investigating patients with unselected irritable bowel syndrome-type symptoms the chances of successfully diagnosing a disease through colonoscopy are very low.

Nowadays, however, if the tauroselcholic (75selenium) acid (SEHCAT) test is performed first...

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Job number: JB57410GBm(1) Date of Preparation: June 2020

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How common is bile acid diarrhoea (BAD)?
Professor David S. Sanders 

How common is bile acid diarrhoea (BAD)?
Professor David S. Sanders 

Professor Sanders argues that many patients presenting with irritable bowel syndrome (IBS) have underlying diseases. He explores a series of studies that suggest approximately 25% of patients presenting with IBS symptoms have BAD as the underlying cause. 

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