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Microscopic colitis...
Microscopic colitis: pathophysiology and clinical management
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- Miehlke, Stephan (författare)
- Internal Med Ctr Eppendorf, Germany; Univ Hosp Eppendorf, Germany
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- Verhaegh, Bas (författare)
- Maastricht Univ, Netherlands
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- Tontini, Gian Eugenio (författare)
- Fdn IRCCS Ca Granda Osped Maggiore Policlin, Italy
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- Madisch, Ahmed (författare)
- CRH Clin Siloah, Germany
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- Langner, Cord (författare)
- Med Univ Graz, Austria
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- Münch, Andreas (författare)
- Linköpings universitet,Avdelningen för neuro- och inflammationsvetenskap,Medicinska fakulteten,Region Östergötland, Magtarmmedicinska kliniken
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(creator_code:org_t)
- ELSEVIER INC, 2019
- 2019
- Engelska.
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Ingår i: The Lancet Gastroenterology & Hepatology. - : ELSEVIER INC. - 2468-1253. ; 4:4, s. 305-314
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Microscopic colitis is a chronic inflammatory disease of the colon that frequently causes chronic watery diarrhoea that might be accompanied by abdominal pain, nocturnal diarrhoea, urgency, and faecal incontinence. These symptoms lead to poor quality of life and increased health-care costs. Diagnosis relies on histological examination of multiple biopsy samples from the colonic mucosa, which often show no or only few abnormalities on endoscopy. Two major histological subtypes can be distinguished-collagenous colitis and lymphocytic colitis-but incomplete and variant forms with fewer characteristic features have been reported. Here we summarise the latest evidence on epidemiology, pathogenesis, and risk factors, and discuss established and novel therapeutic options for clinical remission. Finally, we propose an updated treatment algorithm. Further prospective studies are needed to clarify the natural history of microscopic colitis, supported by validated criteria for the assessment of disease activity.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Gastroenterologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Gastroenterology and Hepatology (hsv//eng)
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