Clinical approach and diagnosing ulcerative colitis in a 55 years old man patient: a case report
DOI:
https://doi.org/10.18203/2320-6012.ijrms20223657Keywords:
IBD, Ulcerative Collitis, ColonoscopyAbstract
This article reports a 55 years old man came to the emergency department with complaint fatigue and weakness since 6 day ago. Patient have 1 week history of diarrhoea with abdominal pain since 1 day ago. Patient also had nausea since 1 day ago. The patient does not take NSAID. Physical examination showed abdominal distention and pain on left iliac region. Colonoscopy showed many ulcus from rectum towards the descendent colon. The diagnosis of ulcerative collitis were made. The patient was treated with amino salisilate, antibiotics, steroids medications and showed clinical remission.
Metrics
References
Kerri LG, Bincy PA, Eamonn MMQ. The microbiome and inflammatory bowel disease. J Allergy Clin Immunol. 2020;145:16-27.
Ananthakrishnan AN. Epidemiology and risk factors for IBD. Nat Rev Gastroenterol Hepatol. 2015;12:205-17
Yamamoto-Furusho JK, Bosques-Padilla F, de-Paula J. Diagnosis and treatment of inflammatory bowel disease: First Latin American Consensus of the Pan American Crohn’s and Colitis Organisation. Rev Gastroenterol Mex. 2017;82(1):46-84.
Feuerstein JD, Isaacs KL, Schneider Y, Siddique SM, Falck-Ytter Y, Singh S et al. AGA Institute Clinical Guidelines Committee. AGA clinical practice guidelines on the management of moderate to severe ulcerative colitis. Gastroenterology. 2020;158:1450-61.
Makharia GK, Ramakrishna BS, Abraham P, Choudhuri G, Misra SP, Ahuja V et al. Survey of inflammatory bowel diseases in India. Indian J Gastroenterol. 2012;31:555-61.
Maria CM, Franco S, Marco P. Nutrition, IBD and Gut microbiota: A review. Nutrients. 2020;12:944.
Porter RJ, Kalla R, Ho G-T. Ulcerative colitis: recent advances in the understanding of disease pathogenesis. F1000Res. 2020;9:1-13.
Peyrin-Biroulet L, Sandborn W, Sands BE. Selecting Therapeutic Targets in Inflammatory Bowel Disease (STRIDE): determining therapeutic goals for treat-to-target. Am J Gastroenterol. 2015;110:1324-38.
Danese S, Banerjee R, Cummings JF, Dotan I, Kotze PG, Leong RWL et al. Consensus recommendations for patient-centered therapy in mild-to-moderate ulcerative colitis: the i Support Therapy-Access to Rapid Treatment (iSTART) approach. Intest Res. 2018;16(4):522-8.
Choi CHR, Rutter MD, Askari A. Forty-year analysis of colonoscopic surveillance program for neoplasia in ulcerative colitis: an updated overview. Am J Gastroenterol. 2015;110:1022-34.