PMID: 9192065Mar 1, 1997Paper

Management of the first presentation of severe acute colitis

Baillière's Clinical Gastroenterology
K LeiperJ M Rhodes

Abstract

Prompt diagnosis and exclusion of infection requires a minimum of rigid sigmoidoscopy, rectal mucosal biopsy and stool culture. Admission to hospital is mandatory for patients with features of severe disease, or who are in their first attack of ulcerative colitis and have bloody diarrhoea, even if the criteria for severe disease are not met. Once admitted, the patient should be monitored by plain abdominal X-ray, full blood count, serum albumin and C reactive protein on alternate days; temperature and pulse rate should be recorded four times per day. Treatment should be instituted as soon as the diagnosis is made with an intravenous corticosteroid (hydrocortisone 100 mg intravenously, four times daily, or equivalent). Antibiotics may be included if infection cannot be confidently excluded. Free diet can be allowed but attention should be given to nutritional, fluid and electrolyte status with intravenous replacement if necessary. Any evidence of colonic dilatation occurring despite maximal therapy should be regarded as an absolute indication for colectomy. The patient should be kept fully informed from an early stage about the likely natural history of the condition and about the possible therapeutic options including surgery. ...Continue Reading

References

Jan 1, 1977·Scandinavian Journal of Gastroenterology·J Powell-TuckJ E Lennard-Jones
May 18, 1992·The Medical Journal of Australia·M C HingD A Cooper
Jan 1, 1992·Scandinavian Journal of Gastroenterology·E O Adeyemi, H J Hodgson
Dec 1, 1991·Gut·C N ChewD P Jewell
Sep 1, 1991·Scandinavian Journal of Gastroenterology·S O'MahonyA Ferguson
Jan 1, 1991·Human Pathology·T MatsumotoY Fukuda
Apr 1, 1991·Journal of Clinical Gastroenterology·C PranteraA Fanucci
Jan 1, 1990·The Medical Clinics of North America·R G Farmer
May 20, 1989·Lancet·S Taylor-RobinsonR J Dickinson
Oct 1, 1989·Gut·R J Dickinson, D G Wight
May 1, 1989·Gut·J M WilloughbyM M Gregory
Jun 1, 1988·Digestive Diseases and Sciences·E ReneB Wolff
Dec 1, 1987·Digestive Diseases and Sciences·J W Singleton
Nov 1, 1987·Gastroenterology·S S RaoC D Holdsworth
Apr 1, 1986·World Journal of Surgery·D H Smith, J J DeCosse
Nov 1, 1986·Annals of Internal Medicine·M J Blaser
Feb 1, 1987·Gastroenterology·T T NostrantH D Appelman
Mar 1, 1985·Clinical Radiology·E Sherrah-Davies
Jan 1, 1985·Journal of Computer Assisted Tomography·B N SiskindR A Princenthal
Feb 1, 1972·The American Journal of Digestive Diseases·G R Healy, S C Kraft
Dec 1, 1973·Gut·C Williams, R Teague
Oct 1, 1983·Scandinavian Journal of Gastroenterology·S H SaverymuttuV S Chadwick
Aug 1, 1982·European Journal of Clinical Investigation·E A FaganM B Pepys
Sep 1, 1982·The American Journal of Surgical Pathology·N B KumarH D Appelman
Oct 1, 1995·The British Journal of Radiology·S J MiddletonJ O Hunter
Dec 1, 1995·Diseases of the Colon and Rectum·P R FleshnerS R Targan
May 1, 1994·The American Journal of Tropical Medicine and Hygiene·R HaqueW A Petri
Aug 1, 1995·Journal of Clinical Pathology·N Le BerreM P Ramée
Apr 1, 1995·Scandinavian Journal of Gastroenterology·A MoranP Asquith
Apr 1, 1995·Nuclear Medicine Communications·S AlmerM Ström
Jan 1, 1993·Annals of Tropical Paediatrics·C A HartJ R Saunders

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Citations

Apr 3, 2002·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·A BarabinoV Jasonni
Jan 31, 2002·World Journal of Gastroenterology : WJG·Chang-Tai Xu, Bo-Rong Pan
May 12, 2007·Gastroenterología y hepatología·Javier P Gisbert, Fernando Gomollón

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