Clinical course and prognosis in ulcerative colitis: results from population-based and observational studies

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Φορέας Ελληνική Γαστροεντερολογική Εταιρία
Συλλογή Annals of Gastroenterology Clinical course and prognosis in
ulcerative colitis: results from population-based and observational
studies
Επιμέρους συλλογή Invited Reviews
ΠεριγραφήThe clinical course of ulcerative colitis (UC) may range from a quiescent course with prolonged periods of remission to fulminant disease requiring intensive medical treatment or surgery. Disease outcome is often determined by relapse rates, the development of colorectal cancer (CRC) and mortality rates. Early patient classification, identifying those with a high risk of developing complicated disease, is essential for choosing appropriate treatment. This paper reviews the clinical outcomes of UC patients as reported in population-based and observational studies representative of the whole patient population. Extensive colitis, a high level of systemic symptoms and young age at diagnosis are factors associated with a high risk of colectomy.  Patients with distal disease who progress to extensive colitis seem to be a subgroup with an especially high risk of colectomy. Some prognostic factors of severe disease have been identified which could be used to optimize treatment and possibly reduce future complications. The overall risk of CRC and mortality was not significantly different from that of the background population. These results may have implications for follow-up strategies, especially regarding endoscopic surveillance of UC patients.Keywords Ulcerative colitis, natural history, colorectal cancer, mortalityAnn Gastroenterol 2014; 27 (2): 95-104
Δημιουργοί Monstad, Iril Department of Gastroenterology, Oslo University Hospital, Ullevål Faculty of Medicine, University of Oslo Kirkeveien 166 0424 Oslo, Norway Hovde, Øistein Department of Internal medicine/ Gastroenterology Innlandet Hospital Trust 2819 Gjøvik, Oppland, Norway phone #: + 47 61 15 70 72 fax: +47 61 15 74 39 Solberg, Inger Camilla Department of Gastroenterology, Oslo University Hospital, Ullevål Kirkeveien 166 0424 Oslo, Norway phone #: 22 11 91 37 fax: + 47 22 11 99 42 Moum, Bjørn A. Department of Gastroenterology, Oslo University Hospital, Ullevål Faculty of Medicine, University of Oslo Kirkeveien 166 0424 Oslo, Norway phone #: +47 22 11 93 97 fax: + 47 22 11 99 42
ΕκδότηςAnnals of Gastroenterology
Ημερομηνία2014-03-27
Μορφότυποςapplication/pdf
Μορφότυποςtext/html
ΠηγήAnnals of Gastroenterology; Volume 27, No 2 (2014); 95
Σχέσηhttp://www.annalsgastro.gr/index.php/annalsgastro/article/do
wnload/1526/7428
Σχέσηhttp://www.annalsgastro.gr/index.php/annalsgastro/article/do
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