Clinical Study of Severe Ulcerative Colitis

Abstract

Twenty-three patients with severe ulcerative colitis who were admitted to our hospital between Jan. 1983 and Apr. 1988 were studied. The clinical type was a first attack in 5 patients, relapsing type in 17 patients, and chronic type in one patient. There were 12 cases of total colitis and 11 of left-sided colitis. One patient with proctitis developed total colitis, and another patient with proctitis developed left-sided colitis. Two patients with left-sided colitis developed total colitis. In the acute stage, response to medication took a significantly longer time in patients with total colitis or when there was inflammatory polyposis. Six patients were treated surgically. In these patients, expansion of the disease was significantly more common.