The medical management of ulcerative colitis : review

Extracted from text ... REVIEW The 18 The medical management of ulcerative colitis stools per day and a CRP greater than 45mg/l came to colectomy. 6 Endoscopic evaluation of the patient with severe ulcerative colitis should be undertaken with caution. Colonoscopy, even in expert hands, is probably not warranted as most severe lesions (90%) are found in the rectosigmoid colon. The risk of colonoscopy includes perforation and acute traumatic dilatation of the colon. There does appear to be an increased risk of colectomy in patients with severe endoscopic lesions. These can be examined by careful sigmoidoscopy with minimal air inflation. The presence ..