Collagenous colitis in children and adolescents: study of 7 cases and literature review

Liu, Xiuli; Xiao, Shu Yuan; Plesec, Thomas; Jiang, Wei; Goldblum, John R.; Lazenby, Audrey J.

doi:10.1038/modpathol.2012.227

Cited by 21 publications

(22 citation statements)

References 32 publications

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“…A previous meta‐analysis showed the median patients' age at the time of diagnosis was over 60 years old (CC: 64.9, CI: 57.03–72.78; LC: 62.2, CI: 54.0–70.4 years) 32 . However, up to 25% of patients diagnosed with CC were less than 45 years 33 and cases of CC have even been described in children 37–40 …”

Section: Methodsmentioning

confidence: 99%

“…32 However, up to 25% of patients diagnosed with CC were less than 45 years 33 and cases of CC have even been described in children. [37][38][39][40] What is the prevalence of MC? Statement 1.2: The pooled overall prevalence of MC is estimated to be 119 (95% CI: 73-166) per 100,000 persons, with an overall prevalence of 50.1 per 100,000 person-year for CC and 61.7 per 100,000 persons for LC.…”

Section: Summary Of Evidence: Epidemiological Studies Have Documentedmentioning

confidence: 99%

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European guidelines on microscopic colitis: United European Gastroenterology and European Microscopic Colitis Group statements and recommendations

et al. 2021

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Introduction Microscopic colitis is a chronic inflammatory bowel disease characterised by normal or almost normal endoscopic appearance of the colon, chronic watery, non-bloody diarrhoea and distinct histological abnormalities, which identify three histological subtypes, the collagenous colitis, the lymphocytic colitis and the incomplete microscopic colitis. With ongoing uncertainties and new developments in the clinical management of microscopic colitis, there is a need for evidence-based guidelines to improve the medical care of patients suffering from this disorder. Methods Guidelines were developed by members from the European Microscopic Colitis Group and United European Gastroenterology in accordance with the Appraisal of Guidelines for Research and Evaluation II instrument. Following a systematic literature review, the Grading of Recommendations Assessment, Development and Evaluation methodology was used to assess the certainty of the evidence. Statements and recommendations were developed by working groups consisting of gastroenterologists, pathologists and basic scientists, and voted upon using the Delphi method. Results These guidelines provide information on epidemiology and risk factors of microscopic colitis, as well as evidence-based statements and recommendations on diagnostic criteria and treatment options, including oral budesonide, bile acid binders, immunomodulators and biologics. Recommendations on the clinical management of microscopic colitis are provided based on evidence, expert opinion and best clinical practice. Conclusion These guidelines may support clinicians worldwide to improve the clinical management of patients with microscopic colitis.

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Section: Methodsmentioning

confidence: 99%

Section: Summary Of Evidence: Epidemiological Studies Have Documentedmentioning

confidence: 99%

European guidelines on microscopic colitis: United European Gastroenterology and European Microscopic Colitis Group statements and recommendations

et al. 2021

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“…from different colonic segments in order to exclude conditions such as collagenous or microscopic colitis [28]. Collagenous colitis is rare in children.…”

Section: Esge/espghan Suggest Removal Of Very Small Polyps (<3 Mm) Bymentioning

confidence: 99%

Paediatric Gastrointestinal Endoscopy

Thomson

Tringali

Dumonceau

et al. 2017

J. pediatr. gastroenterol. nutr.

213

251

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This guideline refers to infants, children, and adolescents ages 0 to 18 years. The areas covered include indications for diagnostic and therapeutic esophagogastroduodenoscopy and ileocolonoscopy; endoscopy for foreign body ingestion; corrosive ingestion and stricture/stenosis endoscopic management; upper and lower gastrointestinal bleeding; endoscopic retrograde cholangiopancreatography; and endoscopic ultrasonography. Percutaneous endoscopic gastrostomy and endoscopy specific to inflammatory bowel disease has been dealt with in other guidelines and are therefore not mentioned in this guideline. Training and ongoing skill maintenance are to be dealt with in an imminent sister publication to this.

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“…The reasons for this age distribution are unknown. It has to be kept in mind that this age distribution may be biased, since we are less likely to perform colonoscopies with or without biopsies in younger adults or pediatric patients, and may thus underestimate incidences in younger populations [45]. Prospective clinical trials are needed to establish incidences in younger populations.…”

Section: Epidemiology Risk Factors and Associated Diseases Of MImentioning

confidence: 99%

Microscopic Colitis: Epidemiology, Pathophysiology, Diagnosis and Current Management—An Update 2013

Storr

2013

ISRN Gastroenterology

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Microscopic colitis is a common cause of chronic diarrhea. Over the last years the incidence and the prevalence of microscopic colitis are rising and this rise is largely attributed to a rising awareness, and concomitantly an increasing number of diagnoses are made. Patients with microscopic colitis report watery, nonbloody diarrhea of chronic, intermittent, or chronic recurrent course. Following an unremarkable physical examination the diagnosis of microscopic colitis is made by colonoscopy, which shows essentially a normal colonic mucosa. Biopsies taken during the colonoscopy procedure will then finally establish the correct diagnosis. Histological workup can then confirm a diagnosis of microscopic colitis and can distinguish the two distinct histological forms, namely, collagenous colitis and lymphocytic colitis. Presently both forms are diagnosed and treated in the same way; thus the description of the two forms is not of clinical value, though this may change in future. Depending on the patients age and gender 10–30% of patients investigated for chronic diarrhea will be diagnosed with microscopic colitis if biopsies are taken. Microscopic colitis is most common in older patients, especially in female patients and is frequently associated with autoimmune disorders and the consumption of several drugs. This review summarizes the present knowledge of the epidemiology, the pathophysiology, and the diagnosis of microscopic colitis and discusses the former and the present treatment options.

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Collagenous colitis in children and adolescents: study of 7 cases and literature review

Cited by 21 publications

References 32 publications

European guidelines on microscopic colitis: United European Gastroenterology and European Microscopic Colitis Group statements and recommendations

European guidelines on microscopic colitis: United European Gastroenterology and European Microscopic Colitis Group statements and recommendations

Paediatric Gastrointestinal Endoscopy

Microscopic Colitis: Epidemiology, Pathophysiology, Diagnosis and Current Management—An Update 2013

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