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Published in: Techniques in Coloproctology 7/2016

01-07-2016 | Editorial

Shedding light on the dark side of microscopic colitis

Authors: V. Villanacci, E. Antonelli, M. Salemme, G. Bassotti

Published in: Techniques in Coloproctology | Issue 7/2016

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Excerpt

The term microscopic colitis (MC) was coined to describe a clinical and pathological entity characterized by three elements [1]: (a) a clinical history of chronic watery (nonbloody) diarrhea; (b) a normal or almost normal endoscopic appearance of the colon; and c) a peculiar histological pattern [27]. It is important to keep in mind that the term MC was in effect a clinical and endoscopic definition, i.e., an “umbrella term” that included two pathological entities called lymphocytic colitis (LC) and collagenous colitis (CC) [8]; for this reason, the term MC has little or no significance from a histopathological point of view. …
Literature
1.
go back to reference Lazenby AJ, Yardly JH, Giardiello FM, Jessurun J, Bayless TM (1989) Lymphocytic (‘‘microscopic’’) colitis: a comparative histopathologic study with particular reference to collagenous colitis. Hum Pathol 20:18–28CrossRefPubMed Lazenby AJ, Yardly JH, Giardiello FM, Jessurun J, Bayless TM (1989) Lymphocytic (‘‘microscopic’’) colitis: a comparative histopathologic study with particular reference to collagenous colitis. Hum Pathol 20:18–28CrossRefPubMed
3.
go back to reference Olesen M, Eriksson S, Bohr J, Järnerot G, Tysk C (2004) Microscopic colitis: a common diarrhoeal disease. An epidemiological study in Orebro, Sweden, 1993–1998. Gut 53:346–350CrossRefPubMedPubMedCentral Olesen M, Eriksson S, Bohr J, Järnerot G, Tysk C (2004) Microscopic colitis: a common diarrhoeal disease. An epidemiological study in Orebro, Sweden, 1993–1998. Gut 53:346–350CrossRefPubMedPubMedCentral
5.
go back to reference Pardi DS, Loftus EV Jr, Smyrk TC et al (2007) The epidemiology of microscopic colitis: a population based study in Olmsted County, Minnesota. Gut 56:504–508CrossRefPubMed Pardi DS, Loftus EV Jr, Smyrk TC et al (2007) The epidemiology of microscopic colitis: a population based study in Olmsted County, Minnesota. Gut 56:504–508CrossRefPubMed
6.
go back to reference Williams JJ, Kaplan GG, Makhija S et al (2008) Microscopic colitis-defining incidence rates and risk factors: a population-based study. Clin Gastroenterol Hepatol 6:35–40CrossRefPubMed Williams JJ, Kaplan GG, Makhija S et al (2008) Microscopic colitis-defining incidence rates and risk factors: a population-based study. Clin Gastroenterol Hepatol 6:35–40CrossRefPubMed
7.
go back to reference Fernandez-Banares F, Salas A, Forné M, Esteve M, Espinós J, Viver JM (1999) Incidence of collagenous and lymphocytic colitis: a 5-year population based study. Am J Gastroenterol 94:418–423CrossRefPubMed Fernandez-Banares F, Salas A, Forné M, Esteve M, Espinós J, Viver JM (1999) Incidence of collagenous and lymphocytic colitis: a 5-year population based study. Am J Gastroenterol 94:418–423CrossRefPubMed
9.
go back to reference Ingle SB, Adgaonkar BD, Ingle CR (2014) Microscopic colitis: common cause of unexplained nonbloody diarrhea. World J Gastrointest Pathophysiol 15:48–53CrossRef Ingle SB, Adgaonkar BD, Ingle CR (2014) Microscopic colitis: common cause of unexplained nonbloody diarrhea. World J Gastrointest Pathophysiol 15:48–53CrossRef
10.
11.
12.
go back to reference Bohr J, Tysk C, Eriksson S, Abrahamsson H, Järnerot G (1996) Collagenous colitis: a retrospective study of clinical presentation and treatment in 163 patients. Gut 39:846–851CrossRefPubMedPubMedCentral Bohr J, Tysk C, Eriksson S, Abrahamsson H, Järnerot G (1996) Collagenous colitis: a retrospective study of clinical presentation and treatment in 163 patients. Gut 39:846–851CrossRefPubMedPubMedCentral
13.
go back to reference Sylwestrowicz T, Kelly JK, Hwang WS, Shaffer EA (1989) Collagenous colitis and microscopic colitis: the watery diarrhea-colitis syndrome. Am J Gastroenterol 84:763–768PubMed Sylwestrowicz T, Kelly JK, Hwang WS, Shaffer EA (1989) Collagenous colitis and microscopic colitis: the watery diarrhea-colitis syndrome. Am J Gastroenterol 84:763–768PubMed
14.
go back to reference Madisch A, Miehlke S, Lindner M, Bethke B, Stolte M (2006) Clinical course of collagenous colitis over a period of 10 years. Z Gastroenterol 44:971–974CrossRefPubMed Madisch A, Miehlke S, Lindner M, Bethke B, Stolte M (2006) Clinical course of collagenous colitis over a period of 10 years. Z Gastroenterol 44:971–974CrossRefPubMed
15.
go back to reference Bohr J, Larsson LG, Eriksson S, Järnerot G, Tysk C (2005) Colonic perforation in collagenous colitis: an unusual complication. Eur J Gastroenterol Hepatol 17:121–124CrossRefPubMed Bohr J, Larsson LG, Eriksson S, Järnerot G, Tysk C (2005) Colonic perforation in collagenous colitis: an unusual complication. Eur J Gastroenterol Hepatol 17:121–124CrossRefPubMed
16.
17.
go back to reference Lindstrom CG (1976) Collagenous colitis with watery diarrhoea—a new entity? Pathol Eur 11:87–89PubMed Lindstrom CG (1976) Collagenous colitis with watery diarrhoea—a new entity? Pathol Eur 11:87–89PubMed
18.
go back to reference Koskela RM, Niemela SE, Karttunen TJ, Lehtola JK (2004) Clinical characteristics of collagenous and lymphocytic colitis. Scand J Gastroenterol 39:837–845CrossRefPubMed Koskela RM, Niemela SE, Karttunen TJ, Lehtola JK (2004) Clinical characteristics of collagenous and lymphocytic colitis. Scand J Gastroenterol 39:837–845CrossRefPubMed
19.
go back to reference Chande N, Driman DK, Reynolds RP (2005) Collagenous colitis and lymphocytic colitis: patient characteristics and clinical presentation. Scand J Gastroenterol 40:343–347CrossRefPubMed Chande N, Driman DK, Reynolds RP (2005) Collagenous colitis and lymphocytic colitis: patient characteristics and clinical presentation. Scand J Gastroenterol 40:343–347CrossRefPubMed
20.
go back to reference Carpenter HA, Tremaine WJ, Batts KP, Czaja AJ (1992) Sequential histologic evaluations in collagenous colitis: correlations with disease behaviour and sampling strategy. Dig Dis Sci 37:1903–1909CrossRefPubMed Carpenter HA, Tremaine WJ, Batts KP, Czaja AJ (1992) Sequential histologic evaluations in collagenous colitis: correlations with disease behaviour and sampling strategy. Dig Dis Sci 37:1903–1909CrossRefPubMed
21.
22.
go back to reference Baert F, Wouters K, D’Haens G et al (1999) Lymphocytic colitis: a distinct clinical entity? A clinicopathological confrontation of lymphocytic and collagenous colitis. Gut 45:375–381CrossRefPubMedPubMedCentral Baert F, Wouters K, D’Haens G et al (1999) Lymphocytic colitis: a distinct clinical entity? A clinicopathological confrontation of lymphocytic and collagenous colitis. Gut 45:375–381CrossRefPubMedPubMedCentral
23.
go back to reference Fernandez-Banares F, Casalots J, Salas A et al (2009) Paucicellular lymphocytic colitis: is it a minor form of lymphocytic colitis? A clinical pathological and immunological study. Am J Gastroenterol 104:1189–1198CrossRefPubMed Fernandez-Banares F, Casalots J, Salas A et al (2009) Paucicellular lymphocytic colitis: is it a minor form of lymphocytic colitis? A clinical pathological and immunological study. Am J Gastroenterol 104:1189–1198CrossRefPubMed
24.
go back to reference Kitchen PA, Levi AJ, Domizio P, Talbot IC, Forbes A, Price AB, London Inflammatory Bowel Disease Forum (2002) Microscopic colitis: the tip of the iceberg? Eur J Gastroenterol Hepatol 14:1199–1204CrossRefPubMed Kitchen PA, Levi AJ, Domizio P, Talbot IC, Forbes A, Price AB, London Inflammatory Bowel Disease Forum (2002) Microscopic colitis: the tip of the iceberg? Eur J Gastroenterol Hepatol 14:1199–1204CrossRefPubMed
25.
go back to reference Goldstein NS, Bhanot P (2004) Paucicellular and asymptomatic lymphocytic colitis. Am J Clin Pathol 122:405–411CrossRefPubMed Goldstein NS, Bhanot P (2004) Paucicellular and asymptomatic lymphocytic colitis. Am J Clin Pathol 122:405–411CrossRefPubMed
26.
go back to reference Warren BF, Edwards CM, Travis SPL (2002) Microscopic colitis: classification and terminology. Histopathology 40:374–376CrossRefPubMed Warren BF, Edwards CM, Travis SPL (2002) Microscopic colitis: classification and terminology. Histopathology 40:374–376CrossRefPubMed
27.
go back to reference Verhaegh BP, Jonkers DM, Driessen A et al (2015) Incidence of microscopic colitis in the Netherlands. A nationwide population-based study from 2000 to 2012. Dig Liver Dis 47:30–36CrossRefPubMed Verhaegh BP, Jonkers DM, Driessen A et al (2015) Incidence of microscopic colitis in the Netherlands. A nationwide population-based study from 2000 to 2012. Dig Liver Dis 47:30–36CrossRefPubMed
28.
go back to reference Münch A, Aust D, Bohr J, Bonderup O, European Microscopic Colitis Group (EMCG) et al (2012) Microscopic colitis: current status, present and future challenges: statements of the European Microscopic Colitis Group. J Crohns Colitis 6:932–945CrossRefPubMed Münch A, Aust D, Bohr J, Bonderup O, European Microscopic Colitis Group (EMCG) et al (2012) Microscopic colitis: current status, present and future challenges: statements of the European Microscopic Colitis Group. J Crohns Colitis 6:932–945CrossRefPubMed
Metadata
Title
Shedding light on the dark side of microscopic colitis
Authors
V. Villanacci
E. Antonelli
M. Salemme
G. Bassotti
Publication date
01-07-2016
Publisher
Springer Milan
Published in
Techniques in Coloproctology / Issue 7/2016
Print ISSN: 1123-6337
Electronic ISSN: 1128-045X
DOI
https://doi.org/10.1007/s10151-016-1493-8

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