Microscopic colitis: an unfamiliar but treatable disease.
نویسندگان
چکیده
Chronic diarrhoea is a frequent complaint in clinical practice. Microscopic colitis is the cause of this symptom in 10% of these cases and the prevalence is rising. To exclude microscopic colitis a colonoscopy with multiple biopsies of different regions of the colon is mandatory. A sigmoidoscopy alone is insufficient. Two histopathological types of microscopic colitis can be distinguished: collagenous colitis and lymphocytic colitis. Nowadays, there is sufficient evidence to recommend budesonide as the first-choice treatment. Bismuth can also be recommended, but this drug is not easily available in the Netherlands. Evidence of efficacy of other drugs is scant.
منابع مشابه
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ورودعنوان ژورنال:
- The Netherlands journal of medicine
دوره 67 2 شماره
صفحات -
تاریخ انتشار 2009