European guidelines on microscopic colitis: United European Gastroenterology (UEG) and European Microscopic Colitis Group (EMCG) statements and recommendations

Autores da FMUP
Participantes de fora da FMUP
- Miehlke, Stephan
- Guagnozzi, Danila
- Zabana, Yamile
- Tontini, Gian E.
- Fiehn, Anne-Marie Kanstrup
- Wildt, Signe
- Bohr, Johan
- Bonderup, Ole
- Bouma, Gerd
- D'Amato, Mauro
- Engel, Peter Johan Heiberg
- Fernandez-Banares, Fernando
- Macaigne, Gilles
- Hjortswang, Henrik
- Hultgren-Hornquist, Elisabeth
- Koulaouzidis, Anastasios
- Kupcinskas, Jouzas
- Landolfi, Stefania
- Latella, Giovanni
- Lucendo, Alfredo
- Lyutakov, Ivan
- Madisch, Ahmed
- Marlicz, Wojciech
- Mihaly, Emese
- Munck, Lars Kristian
- Ostvik, Ann-Elisabeth
- Patai, V, Arpad
- Penchev, Plamen
- Skonieczna-Zydecka, Karolina
- Verhaegh, Bas
- Munch, Andreas
Unidades de investigação
Abstract
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.
Dados da publicação
- ISSN/ISSNe:
- 2050-6406, 2050-6414
- Tipo:
- Review
- Páginas:
- 13-37
- Link para outro recurso:
- www.scopus.com
United European Gastroenterology Journal John Wiley & Sons Inc.
Citações Recebidas na Web of Science: 123
Citações Recebidas na Scopus: 154
Documentos
- Não há documentos
Filiações
Keywords
- Microscopic colitis; inflammatory bowel disease; diarrhoea; budesonide
Proyectos asociados
Contributo da endoscopia, biomarcadores e imagiologia na evolução clinica dos doentes com doença inflamatória intestinal
Investigador Principal: Fernando José Magro Dias
Estudo Clínico Académico . 2019
Citar a publicação
Miehlke S,Guagnozzi D,Zabana Y,Tontini GE,Fiehn AK,Wildt S,Bohr J,Bonderup O,Bouma G,D'Amato M,Engel PJH,Fernandez F,Macaigne G,Hjortswang H,Hultgren E,Koulaouzidis A,Kupcinskas J,Landolfi S,Latella G,Lucendo A,Lyutakov I,Madisch A,Magro F,Marlicz W,Mihaly E,Munck LK,Ostvik A,V,,Penchev P,Skonieczna K,Verhaegh B,Munch A. European guidelines on microscopic colitis: United European Gastroenterology (UEG) and European Microscopic Colitis Group (EMCG) statements and recommendations. United Eur. Gastroenterol. J. 2021. 9(1):p. 13-37. IF:6,866. (1).