| Popis: |
Aim: The aim of this study was to investigate the importance of the neutrophil-to-lymphocyte ratio (NLR) in predicting microscopic colitis (MC) in patients with diarrhea-dominant type irritable bowel syndrome (IBS-D). Material and Method: Between January 1, 2010 and December 31, 2012, 49 patients who fulfilled the Roma III criteria for IBS-D were included in the study. All patients had underwent colonoscopy and colonoscopic biopsy (cecum, ascending, transverse, descending and rectosigmoid sections) to diagnose MC (25 patients with MC). Complete blood count parameters were evaluated in the two groups (IBS-D and MC) using standard methodology. Results: The patients were evaluated in two groups: MC and IBS-D. The groups were similar with respect to age, gender and presence of hypertension. The NLO was significantly higher in the MC group compared to the IBS-D group (2.48±0.99, 1.92±0.84; p=0.041, respectively). A cut-off value of 1.86 had a sensitivity of 76% and spesificity of 55% in predicting MC in patients with symptoms of IBS-D. Discussion: A significant association was found between the presence of MC in patients with IBS-D and increased NLR. The NLR may be a useful marker in predicting MC in patients with symptoms of IBS-D. |
