Acta Scientific Gastrointestinal Disorders (ISSN: 2582-1091)

Editorial Volume 3 Issue 3

Microscopic Colitis A Commonly Missed Diagnosis that Needs Further Studies and Thorough Investigations

Omar S Mansour

Consultant Colorectal and Laparoscopic General Surgeon, Assistant Professor and Clinical Lecturer in General Surgery, Department of Surgery, School of Medicine, Al Balqa Applied University, Al Salt, Jordan

*Corresponding Author: Omar S Mansour, Consultant Colorectal and Laparoscopic General Surgeon, Assistant Professor and Clinical Lecturer in General Surgery, Department of Surgery, School of Medicine, Al Balqa Applied University, Al Salt, Jordan.

Received: January 27, 2020; Published: February 01, 2020

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Abstract

  Microscopic colitis is a chronic inflammatory disease of the colon which is characterized by chronic diarrhea, normal colonic mucosa on colonoscopy and abnormal histological findings on random colonic biopsies. When referred for lower GI endoscopy, these patients have normal colonic mucosa on their first colonoscopy but not all of them get random colonic biopsies done. Provided that microscopic colitis has a prevalence of around 48 to 219 per 100,000 and is diagnosed in around 7.5% of all patients undergoing evaluation for chronic diarrhea, it would be strongly advised that all patients with chronic or recurring diarrhea and abdominal pain to get random colonic biopsies during this first lower GI endoscopy even if they are found to have normal colonic mucosa. This approach would have too goals. The first goal is to get the proper diagnosis on their first visit. The second goal is to prevent further colonoscopies and their potential costs and complications if these patient's symptoms do recur in the future without any proper diagnoses after being flagged with functional abdominal pain and normal colonoscopy. Finally, current guidelines from the American Gastroenterological Association Institute on the medical management of microscopic colitis which were published in 2016 are clear and supported by strong evidence [11].

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References

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Citation

Citation: Omar S Mansour. “Microscopic Colitis A Commonly Missed Diagnosis that Needs Further Studies and Thorough Investigations”. Acta Scientific Gastrointestinal Disorders 3.3 (2020): 01-03.



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