Low prevalence of ‘classical-microscopic colitis but evidence of microscopic inflammation in Asian Irritable Bowel Syndrome patients with diarrhoea
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- 作者：Ida Hilmi (1)
Juanda Leo Hartono (1)
Jayalakshmi Pailoor (2)
Sanjiv Mahadeva (1)
Khean-Lee Goh (1) - 刊名：BMC Gastroenterology
- 出版年：2013
- 出版时间：December 2013
- 年：2013
- 卷：13
- 期：1
- 全文大小：334KB
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38. The pre-publication history for this paper can be accessed here:ntral.com/1471-230X/13/80/prepub" class="a-plus-plus">http://www.biomedcentral.com/1471-230X/13/80/prepub - 作者单位：Ida Hilmi (1)
Juanda Leo Hartono (1)
Jayalakshmi Pailoor (2)
Sanjiv Mahadeva (1)
Khean-Lee Goh (1)
1. Gastroenterology Unit, Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
2. Department of Pathology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
文摘
Background There is increasing evidence for the role of microscopic inflammation in patients with IBS. We aimed to examine the prevalence of microscopic colitis and inflammation in Malaysian IBS patients with diarrhoea (IBS-D). Methods Consecutive patients who met the Rome III criteria for IBS-D and asymptomatic controls were prospectively recruited. Colonoscopy was performed in all study subjects and systematic biopsies taken from all segments of the colon. The diagnosis of lymphocytic colitis and collagenous colitis was made using previously defined criteria. Patients with post infectious IBS were excluded. Results 120 subjects (74 IBS-D, 46 controls) were recruited during the study period. In the IBS-D group, the colonoscopic (macroscopic) findings were as follows; normal findings n = 58 (78.4%), diverticula disease n = 5 (6.8%), diminutive polyps n = 9 (12.2%) and haemorrhoids n = 2(2.7%). No subject under the age of 40 had any significant findings. Microscopically, there was only one case (1.3%) with histology consistent with collagenous colitis. However, the IBS-D patients had a higher prevalence of moderate microscopic inflammation (n = 11, 14.9%) compared to controls (n = 1, 2.2%) (p = 0.005). Conclusions ‘Classical-microscopic colitis is uncommon in Malaysian patients with IBS-D but a significant number of adults showed evidence of microscopic inflammation.