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Clin Colon Rectal Surg 2007; 20(1): 047-057
DOI: 10.1055/s-2007-970200
Copyright © 2007 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Noninfectious Colitides: Collagenous Colitis, Lymphocytic Colitis, Diversion Colitis, and Chemically Induced Colitis

Amy J. Thorsen1
  • 1Division of Colon and Rectal Surgery, Department of Surgery, University of Minnesota, St. Paul, Minnesota
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Publikationsdatum:
28. Februar 2007 (online)

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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