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Review of the microscopic colitides
Eugene F Yen1, Darrell S Pardi
1Division of Gastroenterology, University of Chicago Pritzker School of Medicine, NorthShore University HealthSystem, 2650 Ridge Avenue, Suite G221, Evanston, IL 60201, USA. eyen@uchicago.edu
Microscopic colitis, a cause of chronic diarrhea, is increasingly diagnosed, especially in older adults. This review assesses its epidemiology, diagnosis, and treatment, noting drug-induced cases require more study.
Area of Science:
- Gastroenterology
- Internal Medicine
Background:
- Microscopic colitis is a frequent cause of chronic diarrhea, primarily affecting older adults.
- Incidence rates for microscopic colitis, encompassing lymphocytic and collagenous subtypes, are rising, nearing those of inflammatory bowel disease.
- Drug-induced microscopic colitis is a potential factor requiring further investigation.
Purpose of the Study:
- To provide an updated assessment of the epidemiology of microscopic colitis.
- To review current diagnostic approaches for microscopic colitis.
- To summarize treatment strategies for microscopic colitis.
Main Methods:
- Review of existing literature on microscopic colitis epidemiology.
- Analysis of diagnostic criteria and methods for microscopic colitis.
- Evaluation of treatment data, including retrospective studies and limited controlled trials.
Main Results:
- Increasing incidence rates of microscopic colitis observed over time.
- Limited controlled treatment data available, with reliance on retrospective studies.
- Systematic therapeutic approaches can lead to symptom control.
Conclusions:
- Microscopic colitis is a significant gastrointestinal condition with increasing prevalence.
- Further research is needed to understand drug-induced microscopic colitis.
- A structured approach to diagnosis and treatment is recommended for managing microscopic colitis.
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