Microscopic colitis: Case series and literature review

Authors

DOI:

https://doi.org/10.22516/25007440.817

Keywords:

diarrhea, microscopic colitis, lymphocytic, collagen, budesonide

Abstract

Introduction: Microscopic colitis is a benign and multifactorial disease characterized by watery diarrhea and histological alterations in the colonic mucosa. The incidence of this disease is increasing, being diagnosed more frequently.

Materials and methods: In this retrospective study, patients were examined employing colonoscopy and biopsy due to a diagnosis of chronic diarrhea in a gastroenterology unit throughout 22 months. Their diagnosis of colitis was confirmed by clinical picture and microscopic analysis.

Results: In the study period, a total of 2849 colonoscopies were performed, 116 in patients with chronic diarrhea. We identified 15 patients with microscopic colitis, 12 were men (80 %), and only three were older than 60 (20 %).

Conclusion: Unlike the world literature, this study found that microscopic colitis in our patients affects the male sex primarily (male/female ratio: 4/1) and occurs in young people, with an average age of 47.5 years (range: 21–82 years).

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Author Biographies

Robin Germán Prieto Ortíz, Centro de Enfermedades Hepáticas y Digestivas CEHYD SAS

Especialista en Cirugía General, especialista en gastroenterología y endoscopia digestiva. Hospital Central de la Policía. Gastroenterólogo. Bogotá.

Juliana Rendón Hernández, Hospital Central de la Policía

Especialista en cirugía general y cirugía gastrointestinal y endoscopia digestiva. Instituto Nacional de Cancerología. Bogotá, D.C. Colombia. 

Hernán Ballén-Párraga, Hospital Central de la Policía

Especialista en Gastroenterología y endoscopia digestiva. Bogotá, D.C. Colombia. 

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Figura 1. Hallazgos histológicos de colitis microscópica en pacientes llevados a colonoscopia por diarrea crónica.

Published

2022-05-31

How to Cite

Prieto Ortíz, R. G., Rendón Hernández, J. ., & Ballén-Párraga, H. (2022). Microscopic colitis: Case series and literature review. Revista Colombiana De Gastroenterología, 37(2), 155–162. https://doi.org/10.22516/25007440.817

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