201. Clinical Course of Collagenous Colitis over a Period of 10 Years
- Author
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B. Bethke, Manfred Stolte, M Lindner, Ahmed Madisch, and Stephan Miehlke
- Subjects
Adult ,Diarrhea ,Male ,medicine.medical_specialty ,Colitis, Collagenous ,Anti-Inflammatory Agents ,Gastroenterology ,Microscopic colitis ,Weight loss ,Internal medicine ,medicine ,Humans ,Longitudinal Studies ,Colitis ,Aged ,Aged, 80 and over ,Collagenous colitis ,business.industry ,Clinical course ,Middle Aged ,Prognosis ,medicine.disease ,Clinical trial ,Treatment Outcome ,Concomitant ,Female ,medicine.symptom ,business - Abstract
Aim The aim of this study was to evaluate the long-term outcome of patients with collagenous colitis 10 years after the diagnosis. Patients and methods In 1989/1990, 65 patients were diagnosed to have collagenous colitis. Initially and after an interval of ten years these patients were asked to complete a questionnaire including onset and duration of diarrhea, stool frequency and consistency, other gastrointestinal symptoms including weight loss, drug history, treatment response and concomitant diseases. Results Questionnaires from 47 patients (72.3 %) (female 40; mean age 68 years, range 41 - 95 years) were available for analysis. After a follow-up of ten years, 11 patients (23.4 %) had persistent diarrhea with no change of frequency and consistency compared to baseline. Four patients (8.5 %) showed a reduction of diarrhea frequency of at least 50 %. Diarrhea was resolved in 23 patients (48.9 %) during the follow-up period. Of those, 20 patients received anti-inflammatory treatment. After a complete resolution of diarrhea during the long-term follow-up, 9 patients (19.2 %) showed recurrence of diarrheal symptoms. None of the patients developed any malignancies of the GI-tract. Conclusion The long-term outcome of CC is benign with a resolution of diarrhea in up to 50 % of patients receiving anti-inflammatory treatment. About 30 % of patients may experience persistent diarrhea even 10 years after diagnosis. Our data confirm that CC is a chronic disorder with a variable course of symptoms during a long-term follow-up.
- Published
- 2006
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