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Macroscopic finding...
Macroscopic findings in collagenous colitis : A multi-center, retrospective, observational cohort study
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- Koulaouzidis, Anastasios (author)
- Royal Infirmary of Edinburgh
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- Yung, Diana E (author)
- Royal Infirmary of Edinburgh
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- Nemeth, Artur (author)
- Skåne University Hospital
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- Sjöberg, Klas (author)
- Lund University,Lunds universitet,Gastroenterologi,Forskargrupper vid Lunds universitet,Gastroenterology,Lund University Research Groups,Skåne University Hospital
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- Giannakou, Andry (author)
- Open University of Cyprus
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- Qureshi, Raheel (author)
- Queen Elizabeth Hospital, Gateshead
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- Bartzis, Leonidas (author)
- Royal Infirmary of Edinburgh
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- McNeill, Morna (author)
- Western General Hospital
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- Johansson, Gabriele Wurm (author)
- Skåne University Hospital
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Lucendo, Alfredo J. (author)
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- Fineron, Paul (author)
- Western General Hospital
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- Trimble, Ken C. (author)
- Royal Infirmary of Edinburgh
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- Saeed, Athar (author)
- Hospital General de Tomelloso
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- Plevris, John N (author)
- Royal Infirmary of Edinburgh
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- Toth, Ervin (author)
- Skåne University Hospital
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(creator_code:org_t)
- 2017
- 2017
- English 6 s.
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In: Annals of Gastroenterology. - : Hellenic Society of Gastroenterology. - 1108-7471 .- 1792-7463. ; 30:3, s. 309-314
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Abstract
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- Background Collagenous colitis (CC) is by definition a histological diagnosis. However, colonoscopy often reveals characteristic endoscopic findings. The aim of this study was to evaluate the frequency and type of endoscopic findings in patients diagnosed with CC in 4 participating centers. Methods This was a retrospective study; the databases of 2 university hospitals in Edinburgh (Scotland) and Malmö (Sweden), and 2 district general hospitals in Tomelloso (Spain) and Gateshead (England) were interrogated for patients diagnosed with CC between May 2008 and August 2013. Endoscopy reports and images were retrieved and reviewed; data on lesions, sedation, bowel preparation and endoscopist experience were abstracted. Categorical data are reported as mean±SD. Fischer’s exact, chi-square and t (unpaired) tests were used to compare datasets. A two-tailed P-value of <0.05 was considered statistically significant. Results 607 patients (149 male, mean age 66.9±12.25 years) were diagnosed with CC. A total of 108/607 (17.8%) patients had one or more suggestive endoscopy findings: i.e., mucosal erythema/edema, 91/607 (15%); linear colonic mucosal defects, 12/607 (2%); or mucosal scarring, 5/607 (0.82%). For colonic mucosa erythema, there was no difference in the odds of finding erythema with the use of different bowel preparation methods (P=0.997). For colonic mucosal defects there was some evidence (P=0.005) that patients colonoscoped by experienced endoscopists had 87% less odds of developing such defects. Moreover, there was evidence that analgesia reduced the odds of developing mucosal defects by 84%. Conclusion A significant minority of patients with CC have endoscopic findings in colonoscopy. The description of such findings appears to be related to the endoscopist’s experience.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Gastroenterologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Gastroenterology and Hepatology (hsv//eng)
Keyword
- Colonoscopy
- Endoscopist training
- Macroscopic findings
- Microscopic colitis
- Observational study
Publication and Content Type
- art (subject category)
- ref (subject category)
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- By the author/editor
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Koulaouzidis, An ...
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Yung, Diana E
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Nemeth, Artur
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Sjöberg, Klas
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Giannakou, Andry
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Qureshi, Raheel
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show more...
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Bartzis, Leonida ...
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McNeill, Morna
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Johansson, Gabri ...
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Lucendo, Alfredo ...
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Fineron, Paul
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Trimble, Ken C.
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Saeed, Athar
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Plevris, John N
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Toth, Ervin
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show less...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Gastroenterology ...
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Annals of Gastro ...
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Lund University