Microscopic colitis: diagnosis and management

Townsend, Tristan, Campbell, Fiona, O'Toole, Paul and Probert, Chris ORCID: 0000-0003-4550-0239 (2019) Microscopic colitis: diagnosis and management. FRONTLINE GASTROENTEROLOGY, 10 (4). pp. 388-393.

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Abstract

Microscopic colitis (MC) is a common cause of chronic, non-bloody, watery diarrhoea in older patients. The diagnosis depends on characteristic histological findings. Bile acid malabsorption and autoimmune conditions, including coeliac disease, are more frequently found in patients with MC, but colorectal neoplasia and mortality are not increased. Non-steroidal anti-inflammatory drugs, proton-pump inhibitors, selective serotonin reuptake inhibitors and smoking tobacco confer an increased risk of developing MC. Although a so-called benign disease, which rarely causes serious complications, it does have an impact on the quality of life. Several treatment options exist, but budesonide is the only treatment proven in randomised-controlled trials to be effective and safe for induction and maintenance of remission. This article provides a practical overview for the gastroenterologist looking after patients with MC.

Item Type:	Article
Uncontrolled Keywords:	chronic diarrhoea, collagenous colitis, lymphocytic colitis, microscopic colitis
Depositing User:	Symplectic Admin
Date Deposited:	25 Jan 2019 10:56
Last Modified:	19 Jan 2023 01:08
DOI:	10.1136/flgastro-2018-101040
Related URLs:	Author Publisher
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3030683