Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine)
Online ISSN : 1882-4781
Print ISSN : 1340-2242
ISSN-L : 1340-2242
Indications for Emergency Surgery in Ulcerative Colitis
Ichiro TomitaToru KonoAkitoshi KakisakaKatuaki WakuTakumi UedaYoshiaki EbisawaYasuhiro YamamotoKei OharaShinichi Kasai
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2004 Volume 24 Issue 4 Pages 767-772

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Abstract
The incidence of ulcerative colitis (UC) has increased. Conservative medical treatment is the first step in treatment. While many difficulties may arise in attempting to treat this disease, every effort should be made to introduce surgical management. The underlying principle of surgical management is total removal of the colon and rectal mucosa. Indications for emergency surgery in UC are a sudden turn for the worse in general, acute peritonitis (colon perforation), toxic mega colon, and copious bleeding. The crucial points in management are early recognition, aggressive medical therapy, and regular review by a joint medical and surgical team. Bloody motions, together with systemic signs, including fever and abdominal pain, characterize severe acute symptoms of this colitis. It is important to detemine surgery to prevent worsening the condition of UC patients.
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© Japanese Society for Abdominal Emergency Medicine
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