{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T07:18:30Z","timestamp":1787815110813,"version":"build-2784847793"},"reference-count":5,"publisher":"Baishideng Publishing Group Inc.","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World J Gastrointest Pharmacol Ther"],"abstract":"<jats:p>In this issue recently published in the World Journal of Gastrointestinal Pharmacology and Therapeutics , Leung et al  present data that challenge a long-standing recommendation in microscopic colitis (MC): Routine bilateral colonic biopsies. In a large cohort of treatment-na\u00efve patients, right-sided biopsies demonstrated a diagnostic yield of 100%, whereas left-sided biopsies were less sensitive (92%) and never independently diagnostic in this cohort when right-sided samples were available. These findings invite reconsideration of established biopsy protocols, particularly in light of value-based care and green endoscopy principles. This article examines the evidentiary basis of current guidelines, explores the implications for efficiency and sustainability, and calls for evidence-guided refinement of MC biopsy recommendations.<\/jats:p>","DOI":"10.4292\/wjgpt.119904","type":"journal-article","created":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T15:38:32Z","timestamp":1780414712000},"source":"Crossref","is-referenced-by-count":0,"title":["Letter to the Editor: Less can be more, rethinking colonic biopsy strategies for microscopic colitis in the era of green endoscopy"],"prefix":"10.4292","volume":"17","author":[{"given":"Himanshu","family":"Agrawal","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikhil","family":"Gupta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2060","published-online":{"date-parts":[[2026,9,5]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.4292\/wjgpt.v17.i2.113874"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.1016\/j.humpath.2020.07.011"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2020.02.036"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.5146\/tjpath.2022.01574"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.1177\/2050640620951905"}],"container-title":["World Journal of Gastrointestinal Pharmacology and Therapeutics"],"original-title":[],"link":[{"URL":"https:\/\/www.wjgnet.com\/2150-5349\/full\/v17\/i3\/119904.htm","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.wjgnet.com\/2150-5349\/full\/v17\/i3\/119904.htm","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T06:38:05Z","timestamp":1787812685000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.wjgnet.com\/2150-5349\/full\/v17\/i3\/119904.htm"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,5]]},"references-count":5,"journal-issue":{"issue":"3"},"alternative-id":["119904"],"URL":"https:\/\/doi.org\/10.4292\/wjgpt.119904","relation":{},"ISSN":["2150-5349"],"issn-type":[{"value":"2150-5349","type":"print"}],"subject":[],"published":{"date-parts":[[2026,9,5]]}}}