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DOI: 10.1055/s-2007-970200
Noninfectious Colitides: Collagenous Colitis, Lymphocytic Colitis, Diversion Colitis, and Chemically Induced Colitis
Publication History
Publication Date:
28 February 2007 (online)
ABSTRACT
Approximately 10% of patients with chronic diarrhea carry a diagnosis of microscopic colitis. The endoscopic appearance of both collagenous colitis and lymphocytic colitis may be normal; however, biopsies confirm the diagnosis. Available treatments include antidiarrheals, bismuth salicylate, and budesonide. Although most patients with fecal diversion may have endoscopic evidence of colitis, a much smaller percentage of patients are symptomatic. Some cases of diversion colitis respond to treatment with short-chain fatty acid enemas; however, return of the fecal stream is the most successful therapy. A variety of oral, intravenous, and per rectum chemicals may cause colitis; symptoms usually abate when chemical exposure is discontinued.
KEYWORDS
Collagenous colitis - lymphocytic colitis - microscopic colitis - diversion colitis
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Amy J ThorsenM.D.
Division of Colon and Rectal Surgery, Department of Surgery, University of Minnesota
393 Dunlap St. North, #500, St. Paul, MN 55104
Email: athorsen@colonrectal.org