Frequency of Microscopic Colitis among Clinically Suspected Diarrhea Predominant IBS Patients
DOI:
https://doi.org/10.3329/fmcj.v21i1.87221Keywords:
Irritable bowel syndrome, Microscopic colitis, Colonoscopy, Biopsy, DiarrheaAbstract
Background: Microscopic Colitis (MC) and diarrhea predominant irritable bowel syndrome (IBS-D) has almost same clinical feature. Every day, new cases are diagnosed as IBS-D but how many of them are a case of MC is not usually determined and very few studies are found. This study will help to assess the frequency of MC in clinically suspected IBS-D.
Materials & Methods: A cross-sectional observational study was conducted in department of medicine and gastroenterology in Faridpur Medical College Hospital over a period of 6 months from July’15 to December’15. Total 100 clinically suspected IBS-D patients were selected by purposive sampling technique. Then full colonoscopy was done and biopsy was taken from colonic mucosa for histopathology.
Results: Out of total 100 patients, 38 had lymphocytic Colitis (LC), 39 had nonspecific microscopic colitis (NSMC), 14 had irritable bowel syndrome non-inflamed (IBSNI) and 9 had others (macroscopically colon had hyperaemia, ulcer).
Conclusion: Clinical symptom-based criteria for IBS-D are not specific enough to rule out the diagnosis of MC. Therefore, patients with IBS-D should undergo colonoscopy and biopsies of the colon for histopathology to investigate for possible MC.
Faridpur Med. Coll. J. 2026;21(1):17-21
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