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Vedolizumab Therapy in Refractory Microscopic Colitis: A Single Center Case Series
Lindsey C Shipley1, Sujan Ravi2, Kirk B Russ2
1Division of Internal Medicine, University of Alabama, Birmingham, Alabama.
Microscopic colitis causes chronic watery diarrhea due to colon inflammation. Diagnosis relies on characteristic biopsy findings, as endoscopic appearance is typically normal.
Area of Science:
- Gastroenterology
- Pathology
Background:
- Microscopic colitis (MC) presents as chronic watery diarrhea.
- Inflammation of the colon underlies the condition.
- Endoscopic examination often reveals normal colonic mucosa.
Purpose of the Study:
- To describe the key features of microscopic colitis.
- To highlight the diagnostic importance of histological examination in MC.
Main Methods:
- Review of endoscopic and histological findings in microscopic colitis.
- Analysis of diagnostic criteria for MC.
Main Results:
- Endoscopic evaluation of the colon in MC typically shows normal mucosa.
- Characteristic histological findings on biopsy are essential for diagnosing MC.
Conclusions:
- Microscopic colitis is diagnosed based on characteristic histologic findings from colonic biopsies.
- Despite normal endoscopic appearance, biopsy is crucial for MC diagnosis.
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