TY - JOUR T1 - Role of endoscopy in chronic diarrhoea when functional bowel disease is suspected JF - Gut JO - Gut DO - 10.1136/gutjnl-2018-317730 SP - gutjnl-2018-317730 AU - Ramesh P Arasaradnam AU - Julian R F Walters Y1 - 2018/12/03 UR - http://gut.bmj.com/content/early/2018/12/03/gutjnl-2018-317730.abstract N2 - We thank Ong and colleagues1 for their comment on the indication for lower GI endoscopy when functional bowel disease such as IBS diarrhoea predominant (IBS-D) is suspected.In most patients with chronic diarrhoea, some form of endoscopic investigation will be necessary. However, it has been recommended that in young patients (less than 40 years) reporting ‘diarrhoea’ but who have other typical symptoms of a functional bowel disorder and negative initial investigations including faecal calprotectin, a positive diagnosis of IBS-D may be made in the … ER -