Review of normal gastrointestinal tract, ulcerative colitis, proctitis and rectal medication adherence.

British Journal of Nursing : BJN
Pineshwari Naeck-BoolaukyJennie Burch

Abstract

The gastrointestinal (GI) tract has a number of functions-ingestion, digestion, absorption and elimination. When the GI tract is working normally, it is efficient. However, this can change when disease, such as inflammatory bowel disease (IBD) occurs. IBD is a long-term relapsing and remitting autoimmune disease; it incorporates ulcerative colitis (UC). In UC, part or all the mucosa lining the rectum and colon becomes inflamed and ulcerated. UC that affects the rectum only is called proctitis. Effective treatment is essential. It is better to target the rectal mucosa directly in proctitis, using topical rectal medications in enemas or suppositories, as these have fewer side-effects and resolve symptoms more quickly than systemic drugs. However, patients may not feel clear about aspects of their IBD care and can find it difficult to initiate and comply with treatment and maintenance regimens. Nurses need to educate and support them to achieve optimal therapeutic outcomes in both the immediate and long terms.

References

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Mar 1, 2008·Journal of Crohn's & Colitis·E F StangeUNKNOWN European Crohn's and Colitis Organisation (ECCO)
Mar 17, 2011·The American Journal of Gastroenterology·Alexander C FordPaul Moayyedi
Apr 6, 2011·Gut·Craig MowatUNKNOWN IBD Section of the British Society of Gastroenterology
Oct 12, 2011·Inflammatory Bowel Diseases·Stephan R VavrickaUNKNOWN Swiss IBDnet and Swiss IBD Cohort Study Group
Nov 16, 2011·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Alexander C FordPaul Moayyedi
Apr 10, 2013·Journal of Crohn's & Colitis·F SeiboldUNKNOWN Swiss IBD cohort study group
Sep 8, 2016·Clinical and Experimental Gastroenterology·Jill M PlevinskyLaurie N Fishman
Mar 7, 2017·Patient Preference and Adherence·Anna TestaGiorgio L Colombo
May 18, 2017·Journal of Crohn's & Colitis·Marcus HarbordUNKNOWN European Crohn’s and Colitis Organisation [ECCO]
Jan 24, 2018·BMJ Open·Rachelle Louise CutlerVictoria Garcia-Cardenas
Aug 1, 2018·Best Practice & Research. Clinical Gastroenterology·Javier P Gisbert, María Chaparro

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Methods Mentioned

BETA
cognitive behavioural therapy

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