2019, Number 4
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Rev Med MD 2019; 10.11 (4)
Microscopic colitis: case series and literature review
Betancourt-Vicencio S, García-Monroy D, Garrido-Cepeda MEJ, Cabrera-Ordoñez C, Romero-Gómez F, Latorraca-Santamaría JI, Arroniz-Jáuregui LA, González-Duarte JA, Enciso-Pérez D
Language: Spanish
References: 13
Page: 265-270
PDF size: 568.80 Kb.
ABSTRACT
Introduction.
Microscopic colitis (MC) is a chronic inflammatory pathology characterized by the presence of chronic diarrhea, colon mucosa normal to
endoscopic study and specific histopathological findings. There are two subtypes: collagenous colitis (CC) and lymphocytic colitis (CL). It is
associated with smoking, consumption of some medications and some autoimmune diseases. The cases of microscopic colitis registered in a
third level hospital in western Mexico are presented.
Methods.
It was a retrospective study, carried out in the Coloproctology service of the Hospital Civil de Guadalajara Fray Antonio Alcalde during the
period: January 2014 - February 2018. Epidemiological, clinical, endoscopic and histological findings were described. Descriptive statistics
were performed that included measures of central tendency and dispersion.
Results.
It was a retrospective study, carried out in the Coloproctology service of the Hospital Civil de Guadalajara Fray Antonio Alcalde during the
period: January 2014 - February 2018. Epidemiological, clinical, endoscopic and histological findings were described. Descriptive statistics
were performed that included measures of central tendency and dispersion.
Discussion.
CM is an uncommon cause of chronic diarrhea. The diagnosis is based on the histopathological study of samples of the colon mucosa. The
macroscopic findings in the endoscopic studies may be normal or have nonspecific data, so whenever there is a suspected diagnosis, a biopsy is
suggested. This is the first description of patients with this diagnosis, treated at the Hospital Civil de Guadalajara Fray Antonio Alcalde.
REFERENCES
1 . Pardi DS. Diagnosisand Man a geme n t o f Microscopic Colitis. Am J Gastroenterol [Internet]. 2017; 112 (1): 78–85. Availablefrom: http://dx.doi.org/10.1038/ajg.2016.477
Boland K, Nguyen GC. Microscopic colitis: A review of collagenous and lymphocytic colitis. Gastroenterol Hepatol. 2017;13(11):671–7.
Cotter TG, Pardi DS. Current Approach to the Evaluation and Management of Microscopic Colitis. Curr Gastroenterol Rep. 2017;19(2):17–22.
Boland K, Nguyen GC. Microscopic colitis: a review of collagenous and lymphocytic colitis. Gastroenterol Hepatol. 2017;13(11):671–677.
Brown W, Tayal S. Microscopic Colitis. A review. Journal of Digestive Diseases 2013; 14; 277–281
Storr M. Microscopic colitis: Epidemiology, pathophys i ology, diagnosis and current management - An update 2013. ISRN Gastroenterol 2013. Availablefro m : http://www.embase.com/search/results?subaction =viewrecord&from=export&id=L368887168%5Cn http://dx.doi.org/10.1155/2013/352718
Park T, Cave D, Marshall C. Microscopic colitis: A review of etiology, treatment and refractory disease. World J Gastroenterol. 2015;21(29):8903–11.
Shor J, Churrango G, Hosseini N, et al. Management of Microscopic Colitis: challenges and solutions. Clinical and Experimental Gastroenterology. 2019;12:111-120
Münch A, Langer C. Microscopic Colitis: Clinical and Pathologic Perspectives. Clinical Gastroenterology and Hepatology 2015;13:228-236
Rindom Krogsgaard L, Kristian Munck L, Bytzer P, Wildt S. An altered composition of the microbiome in microscopic colitis is driven towards the composition in healthy controls by treatment with budesonide. Scand J Gastroenterol 2019;0(0):1–7. doi.org/10.1080/00365521.2019.1599064
Nguyen GC. Smalley WE, Swaroop S, et al. American Gastroenterological Association Institute Guideline on the Medical Management of Microscopic Colitis. Gastroenterology. 2016;150:242- 246.
Günaltay S, Rademacher L, Hultgren Hörnquist E, Bohr J. Clinical and immunologic effects of faecal microbiota transplantation in a patient with collage nous colitis. World JGastroenterol. 2017;23(7):1319–1324.
Varghese L, Galandiuk S, Tremaine WJ, Burgart LJ. Lymphocytic colitis treated with proctocolectomy and ileal J-pouch-anal anastomosis: report of a case. Dis Colon Rectum. 2002;45(1):123-126.