Advances in diagnosis and treatment of diarrhea-predominant irritable bowel syndrome and microscopic colitis

doi:10.3877/cma.j.issn.2095-2015.2018.04.008

Abstract

Abstract:

The diarrhea-predominant irritable bowel syndrome(IBS-D)and microscopic colitis(MC)are recurrent, non hemorrhagic, water or dilute diarrhea in the clinical manifestations, and the colonoscopy shows normal mucosa.But the two are two diseases of different nature.The diagnosis of IBS-D is based on the Rome Ⅲ standard based on symptomatology.The diagnostic method of MC is colonoscopic colonic mucosa biopsy.Because of the overlap of clinical symptoms and negative colonoscopy between IBS-D and MC, it is easy to cause misdiagnosis.At present, there is no unified consensus on MC diagnosis in the world.The lack of understanding of MC by clinicians in China and the low rate of mucosal biopsy under colonoscopy cause the high misdiagnosis rate of MC.This paper makes a review of the research progress of epidemiology, etiology, clinical symptoms, diagnosis, treatment and clinical symptoms overlap of IBS-D and MC.

Key words: Diarrhea-predominant irritable bowel syndrome, Microscopic colitis, Colonoscopy diagnosis, Symptom, Differential diagnosis

Guihong Li, Yuting Yan, Botao Jiang. Advances in diagnosis and treatment of diarrhea-predominant irritable bowel syndrome and microscopic colitis[J]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2018, 08(04): 173-177.

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