Resolution of collagenous colitis after treatment for helicobacter pylori

Narayani, Raj I.; Burton, Mark; Young, Gavin S.

doi:10.1111/j.1572-0241.2002.05513.x

Cited by 13 publications

(7 citation statements)

References 7 publications

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“…A case-control study found no association between the presence of microscopic colitis and Helicobacter pylori infection, but, interestingly, two cases of prolonged improvement after eradication treatment of Helicobacter pylori infection were reported [27]. However, in this case the symptoms of collagenous colitis developed four weeks after Helicobacter pylori eradication therapy.…”

Section: Discussionmentioning

confidence: 66%

Lansoprazole-Associated Collagenous Colitis: A Case Report

Rammer¹,

Kirchgatterer²,

Höbling³

et al. 2005

Z Gastroenterol

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A 57-year-old man developed chronic, watery diarrhea four weeks after Helicobacter pylori eradication therapy including lansoprazole followed by lansoprazole monotherapy for gastroesophageal reflux disease. Four weeks later the patient was admitted to our hospital. By repeated testing other causes of diarrhea, e. g., infectious diarrhea including Clostridium difficile colitis were excluded. Endoscopy showed a normal colon, histopathology of random biopsies of all sections of the colon demonstrated the characteristic features of collagenous colitis. Withdrawal of lansoprazole lead to prompt and sustained relief. Two months later repeat colonoscopy with biopsies showed no evidence of collagenous colitis. Collagenous colitis as a subtype of microscopic colitis is a rare cause of chronic diarrhea with unknown pathogenesis. The reported case represents an unusual association between medication with the proton pump inhibitor lansoprazole and the development of collagenous colitis suggesting the importance of evaluation of drug use in patients with microscopic colitis.

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Section: Discussionmentioning

confidence: 66%

Lansoprazole-Associated Collagenous Colitis: A Case Report

Rammer¹,

Kirchgatterer²,

Höbling³

et al. 2005

Z Gastroenterol

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“… 25 , 26 Furthermore, resolution of symptoms following treatment for Helicobacter pylori has been reported. 27 …”

Section: Collagenous Colitismentioning

confidence: 99%

Optimal management of collagenous colitis: a review

O’Toole¹

2016

CEG

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Collagenous colitis (CC) is an increasingly recognized cause of chronic inflammatory bowel disease characterized by watery non-bloody diarrhea. As a lesser studied inflammatory bowel disease, many aspects of the CC’s natural history are poorly understood. This review discusses strategies to optimally manage CC. The goal of therapy is to induce clinical remission, <3 stools a day or <1 watery stool a day with subsequent improved quality of life (QOL). Antidiarrheal can be used as monotherapy or with other medications to control diarrhea. Budesonide therapy has revolutionized treatment and is superior to prednisone, however, the treatment is associated with high-relapse rates and the management of refractory disease is challenging. Ongoing trials will address the safety and efficacy of low-dose maintenance therapy. For those with refractory disease, case reports and case series support the role of biologic agents. Diversion of the fecal stream normalizes colonic mucosal changes and ileostomy may be considered where anti-tumor necrosis factor (TNF)-α agents are contraindicated. Underlying celiac disease, bile salt diarrhea, and associated thyroid dysfunction should be ruled out. The author recommends smoking cessation as well as avoidance of nonsteroidal anti-inflammatories as well as other associated medications.

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“…18 In this condition, Helicobacter pylori eradication has led to the resolution of symptoms in some cases. 19 Pathologically, collagen metabolism disturbances mainly due to the change in the expression of some genes such as matrix metalloproteinase groups have been revealed as the main reason for thickened collagen band formation. 20 In both conditions described, endoscopic assessment followed by biopsy taking and specific staining is the main diagnostic approach, while no reliable diagnostic markers or radiological findings have been found.…”

Section: Discussionmentioning

confidence: 99%

Concurrent Collagenous Gastritis and Collagenous Colitis: A Case Presentation and Review of the Literature

Ziaei

Boghratian

Sohrabi

et al. 2022

Middle East J Dig Dis

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Collagenous gastritis is a rare gastrointestinal condition, and its presence with collagenous colitis may be an exception. We describe a 31-year-old man with simultaneous collagenous gastritis and collagenous colitis. The patient initially presented with dyspepsia, anemia, and weight loss. Endoscopy assessment revealed irregular gastric atrophy with the normal colon. Gastric biopsies illustrated increased thickness and subepithelial collagen band.

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Resolution of collagenous colitis after treatment for helicobacter pylori

Cited by 13 publications

References 7 publications

Lansoprazole-Associated Collagenous Colitis: A Case Report

Lansoprazole-Associated Collagenous Colitis: A Case Report

Optimal management of collagenous colitis: a review

Concurrent Collagenous Gastritis and Collagenous Colitis: A Case Presentation and Review of the Literature

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