Specific histological abnormalities are more likely in biopsies of endoscopically normal large bowel after the age of 60years

Histopathology

Volumn 61, Issue 6, 2012, Pages 1209-1213

  O'Mahony, Orla H ^a   Burgoyne, Margaret ^a   Going, James J ^a  

^a SOUTHERN GENERAL HOSPITAL   (United Kingdom)

Author keywords

Biopsy; Colonoscopy; Focal active colitis; Microscopic colitis; Normal colonic mucosa; Sigmoidoscopy; Specific histological diagnosis; Terminal ileum

Indexed keywords

ADOLESCENT; ADULT; AGED; ARTICLE; COLON BIOPSY; COLON ISCHEMIA; COLON POLYP; COLONOSCOPY; DIARRHEA; FEMALE; HISTOPATHOLOGY; HUMAN; INTESTINE BIOPSY; INTESTINE ENDOSCOPY; MAJOR CLINICAL STUDY; MALE; MICROSCOPIC COLITIS; PRIORITY JOURNAL; RECTUM BIOPSY; RETROSPECTIVE STUDY; SCHISTOSOMIASIS; SIGMOIDOSCOPY; TERTIARY HEALTH CARE;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; BIOPSY; COLITIS; COLON; COLONIC POLYPS; COLONOSCOPY; COST-BENEFIT ANALYSIS; DIARRHEA; FEMALE; HUMANS; INFLAMMATORY BOWEL DISEASES; INTESTINAL MUCOSA; MALE; MIDDLE AGED; RECTUM; RETROSPECTIVE STUDIES; SIGMOIDOSCOPY; YOUNG ADULT;

EID: 84870392987     PISSN: 03090167     EISSN: 13652559     Source Type: Journal    
DOI: 10.1111/j.1365-2559.2012.04317.x     Document Type: Article

References (11)

1. Royal College of Pathologists. Histopathology and cytopathology of limited or no clinical value, 2nd edn. London: RCPath, 2005. Available at: http://www.rcpath.org/Resources/RCPath/Migrated%20Resources/Documents/H/HOLNCV-2ndEdition.pdf (Accessed 4th March 2011).
2. Lillebo B, Dybdahl JH, Nordrum IS. Biopsies of the endoscopically normal colon. Tidsskr. Nor. Laegeforen. 2007; 127; 571-573.
3. Yusoff IF, Ormonde DG, Hoffman NE. Routine colonic mucosal biopsy and ileoscopy increases diagnostic yield in patients undergoing colonoscopy for diarrhoea. J. Gastroenterol. Hepatol. 2002; 17; 276-280.
4. Marshall JB, Singh R, Diaz-Arias AA. Chronic, unexplained diarrhoea: are biopsies necessary if colonoscopy is normal?Am. J. Gastroenterol. 1995; 90; 372-376.
5. Lorenzo-Zuniga V, de Vega VM, Boix J. The diagnostic value of colonoscopic biopsies in patients with chronic diarrhoea. Eur. J. Gastroenterol. Hepatol. 2010; 22; 378-379.
6. Da Silva JG, De Brito T, Cintra Damiao AO, Laudanna AA, Sipahi AM. Histologic study of colonic mucosa in patients with chronic diarrhoea and normal colonoscopic findings. J. Clin. Gastroenterol. 2006; 40; 44-48.
7. Shetty S, Anjarwalla SM, Gupta J et al. Focal active colitis: a prospective study of clinicopathological correlations in 90 patients. Histopathology 2011; 59; 850-856.
8. Prior A, Lessells AM, Whorwell PJ. Is biopsy necessary if colonoscopy is normal?Dig. Dis. Sci. 1987; 32; 673-676.
9. Melton SD, Feagins LA, Saboorian MH, Genta RM. Ileal biopsy: clinical indications, endoscopic and histopathologic findings in 10, 000 patients. Dig. Liver Dis. 2011; 43; 199-203.
10. McHugh JB, Appelman HD, McKenna BJ. The diagnostic value of endoscopic terminal ileum biopsies. Am. J. Gastroenterol. 2007; 102; 1084-1089.
11. Powell N, Hayee BH, Yeoh DP, Rowbotham DS, Saxena V, McNair A. Terminal ileal photography or biopsy to verify total colonoscopy: does the endoscope agree with the microscope?Gastrointest. Endosc. 2007; 66; 320-325.