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非炎症性肠病结肠炎(嗜酸性粒细胞性、显微镜下结肠炎)。

Non-IBD colitides (eosinophilic, microscopic).

机构信息

Division of Gastroenterology, University of Chicago, Pritzker School of Medicine, NorthShore University HealthSystem, Evanston, IL, USA.

出版信息

Best Pract Res Clin Gastroenterol. 2012 Oct;26(5):611-22. doi: 10.1016/j.bpg.2012.11.012.

Abstract

Microscopic colitis includes the terms lymphocytic colitis and collagenous colitis, and is a common cause of chronic diarrhoea in older adults. The incidence of microscopic colitis has increased over time and has reached levels comparable to other forms of inflammatory bowel disease. In this chapter, an updated review on the epidemiology, diagnosis and treatment of microscopic colitis has been provided. There is limited data available about eosinophilic colitis, which is the least common of the eosinophilic GI disorders. It is important to rule out the secondary causes of colonic eosinophilia in patients with suspected eosinophilic colitis.

摘要

显微镜结肠炎包括淋巴细胞性结肠炎和胶原性结肠炎,是老年人慢性腹泻的常见原因。显微镜结肠炎的发病率随时间推移而增加,已达到与其他形式炎症性肠病相当的水平。本章提供了关于显微镜结肠炎的流行病学、诊断和治疗的最新综述。关于嗜酸性粒细胞性结肠炎,即最不常见的嗜酸性粒细胞胃肠道疾病,可获得的资料有限。对于疑似嗜酸性粒细胞性结肠炎的患者,重要的是要排除结肠嗜酸性粒细胞增多的继发性原因。

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