Publication Name	World Journal of Gastrointestinal Pharmacology and Therapeutics
Manuscript ID	119904
Country	India

Category	Gastroenterology & Hepatology
Manuscript Type	Correspondence
Article Title	Letter to the Editor: Less can be more, rethinking colonic biopsy strategies for microscopic colitis in the era of green endoscopy
Manuscript Source	Invited Manuscript
All Author List	Himanshu Agrawal and Nikhil Gupta
Funding Agency and Grant Number
Corresponding Author	Nikhil Gupta, Department of Surgery, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, BKS Marg, Delhi 110001, India. nikhil_ms26@yahoo.co.in
Key Words	Microscopic colitis; Colon biopsy; Diagnostic yield; Guideline revision; Green endoscopy; Value-based care
Core Tip	Routine bilateral colonic biopsies for suspected microscopic colitis (MC) are rooted more in tradition than contemporary evidence. Emerging data suggest that right-sided colonic biopsies alone may be sufficient for diagnosis, without compromising accuracy. Reconsidering biopsy strategies offers an opportunity to maintain diagnostic rigor while reducing procedural burden, costs, and environmental impact-aligning MC diagnosis with principles of precision and sustainable gastroenterology.
Citation	Agrawal H, Gupta N. Letter to the Editor: Less can be more, rethinking colonic biopsy strategies for microscopic colitis in the era of green endoscopy. World J Gastrointest Pharmacol Ther 2026; In press

Received	2026-02-10 01:57
Peer-Review Started	2026-02-10 01:58
First Decision by Editorial Office Director	2026-02-27 08:54
Return for Revision	2026-02-27 08:54
Revised	2026-03-02 07:04
Publication Fee Transferred
Second Decision by Editor	2026-04-10 02:46
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-04-10 08:06
Articles in Press	2026-04-10 08:06
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2150-5349 (online)
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Copyright	©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
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