The Management of the Hospitalized Ulcerative Colitis Patient: the Medical-Surgical Conundrum

摘要: In this study, we present the evidence-based management for patients hospitalized ulcerative colitis (UC) with a special focus on synergic approach of two key actors inflammatory bowel disease multidisciplinary team (IBD-MDT): gastroenterologist and surgeon. Focused treatment by specialized IBD-MDT early involvement colorectal surgeon in UC is advocated. The colectomy rate has not changed over years. Moreover, delayed surgery after admission burden increase complication mortality rates. Thus, it pivotal to identify who are likely undergo surgery, mean predictors outcome, prolong ineffective medical treatment. perfect timing based clinical close monitoring crucial. Up 25% may require hospitalization. aim evaluate severity disease, exclude infections establish proper while response. During admission, patient be closely observed possible development toxic megacolon or perforation, which should prompt emergency colectomy. 30% will fail respond initial intravenous corticosteroid. Non-responder partial responder therapy evaluated timely could considered rescue therapy.