Colitis: An Unknown Truth

Abstract

Introduction: colitis is an increasingly common condition in patients, where the mucosa of the colon becomes acutely or chronically inflamed. Histological evaluation is crucial to understanding the structural integrity of the colon, as it provides direct evidence of tissue damage, inflammation, and healing after therapeutic intervention. Objective: to report the experience of the different colitis diagnosed through medical practice in the Colon and Rectal Surgery service. Methods: multicenter study with a retrospective, longitudinal, observational and descriptive design. Reporting disease activity in colon and rectal anatomy, medical treatment lines with or without colon and rectal surgery, morbidity and mortality. Results: with a total of 297 patients: 154 women representing 51.17% and 143 men representing 48.14%. The age range was 18 to 89 years, with an average age of 43 years. Patients who had a follow-up of more than one year, since their diagnosis confirmed histopathologically, with clinical, laboratory and colonoscopy congruence. Treatment and management are determinant of the diagnosis according to each case. Discussion: the diagnoses of colitis and its variety make the veracity complex but demandingly convincing for a coherent and effective treatment: ranging from ulcerative colitis, ischemic colitis, collagenous colitis, lymphocytic colitis, eosinophilic colitis, neutropenic colitis, amoebic colitis and more. Conclusions: there is a lack of knowledge about colitis tacitly both for functional digestive disorders and for anatomical disorders or only stigmatized by the medical vulgar. The current fashion called "consensus" by "experts" (a true empiricism); discarding scientific methodology, the pillar of the essence of a science, trembling its veracity, forcefulness and effectiveness.