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

Amy J. Thorsen

doi:10.1055/s-2007-970200

Clinics in Colon and Rectal Surgery, Inhaltsverzeichnis

Clin Colon Rectal Surg 2007; 20(1): 047-057
DOI: 10.1055/s-2007-970200

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

Abstract

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