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Related Concept Videos

Inflammatory Bowel Disease II: Ulcerative Colitis01:20

Inflammatory Bowel Disease II: Ulcerative Colitis

Ulcerative colitis is a chronic inflammatory disorder of the colon characterized by continuous mucosal inflammation that typically begins in the rectum and extends proximally in a uniform pattern. Its pathogenesis involves a complex interplay of genetic predisposition, immune dysregulation, and environmental influences. These factors converge to impair the colon’s epithelial defenses and promote an exaggerated inflammatory response against luminal contents.Breakdown of the Mucosal BarrierA...
Inflammatory Bowel Disease I: Ulcerative Colitis01:27

Inflammatory Bowel Disease I: Ulcerative Colitis

Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory Bowel Disease III: Crohn's Disease01:25

Inflammatory Bowel Disease III: Crohn's Disease

Crohn’s disease is a chronic, relapsing form of inflammatory bowel disease characterized by segmental, transmural inflammation that can affect any part of the gastrointestinal tract. Its pathogenesis arises from a combination of genetic susceptibility, environmental exposures, epithelial barrier dysfunction, and immune dysregulation. Together, these factors lead to an exaggerated immune response against components of the gut microbiome.Genetic and Environmental InfluencesMultiple genetic...
Inflammatory Bowel Disease I: Introduction01:26

Inflammatory Bowel Disease I: Introduction

Inflammatory bowel disease is a group of chronic disorders marked by recurrent inflammation of the gastrointestinal tract due to an abnormal immune response against gut microflora. This leads to tissue damage. The two main forms are Crohn’s disease and ulcerative colitis.Crohn’s DiseaseCrohn’s disease is a relapsing inflammatory disorder that can affect any part of the GI tract, from the mouth to the anus. It involves all layers of the bowel wall (transmural) and shows “skip lesions” in which...
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy01:30

Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy

Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the colonic...
Inflammatory Bowel Disease II: Crohn's Disease01:30

Inflammatory Bowel Disease II: Crohn's Disease

Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by transmural...

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Related Experiment Video

Updated: Jun 26, 2026

Performing Colonoscopic-Guided Pinch Biopsies in Mice and Evaluating Subsequent Tissue Changes
08:52

Performing Colonoscopic-Guided Pinch Biopsies in Mice and Evaluating Subsequent Tissue Changes

Published on: February 5, 2021

Microscopic colitis: an update.

Vikram Tangri1, Nilesh Chande

  • 1Department of Medicine, The University of Western Ontario, Canada. vtangri2008@meds.uwo.ca

Journal of Clinical Gastroenterology
|January 27, 2009
PubMed
Summary
This summary is machine-generated.

Microscopic colitis (MC) is a common cause of chronic diarrhea, often missed on endoscopy. Biopsies reveal specific changes, and budesonide is the most effective treatment, though others show promise.

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Area of Science:

  • Gastroenterology
  • Pathology

Background:

  • Microscopic colitis (MC) presents with chronic diarrhea, cramping, nausea, and weight loss.
  • Endoscopic examination of the colonic mucosa appears normal in MC.
  • Biopsies reveal characteristic abnormalities: intraepithelial lymphocytosis (lymphocytic colitis) or a thickened subepithelial collagen band (collagenous colitis).

Purpose of the Study:

  • To summarize the current understanding of microscopic colitis, including its epidemiology, pathophysiology, and treatment.
  • To highlight MC as an increasingly recognized cause of chronic diarrhea.

Main Methods:

  • Review of epidemiological data on MC prevalence.
  • Analysis of pathological findings in colonic biopsies.
  • Evaluation of recent research on MC pathophysiology.
  • Assessment of treatment efficacy studies.

Main Results:

  • MC is a more frequent cause of diarrhea than previously recognized.
  • Distinct histological features differentiate subtypes of MC.
  • Budesonide has emerged as the most effective treatment for MC.
  • Other therapeutic options also demonstrate potential benefits.

Conclusions:

  • Microscopic colitis requires histological confirmation due to normal endoscopic appearance.
  • Understanding risk factors and pathophysiology is crucial for managing MC.
  • Budesonide offers a promising therapeutic avenue for patients with microscopic colitis.