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Ulcerative colitis

  • Alternative Names

    Inflammatory bowel disease - ulcerative colitis; IBD - ulcerative colitis


    Prevention

    Because the cause is unknown, prevention is also unknown.

    Nonsteroidal anti-inflammatory drugs (NSAIDs) may make symptoms worse.

    Due to the risk of colon cancer associated with ulcerative colitis, screening with colonoscopy is recommended.

    The American Cancer Society recommends having your first screening:

    • 8 years after you are diagnosed with severe disease, or when most of, or the entire, large intestine is involved
    • 12 - 15 years after diagnosis when only the left side of the large intestine is involved

    Have follow-up examinations every 1 - 2 years.


    References

    Sands BE, Siegel CA. Crohn's disease. In: Feldman M, Friedman LS, Brandt, LJ, eds. Sleisenger & Fordtran's Gastrointestinal and Liver Disease. 9th ed. Philadelphia, Pa: Saunders Elsevier;2010:chap 111.

    Moyer MS. Chronic ulcerative colitis in childhood. J Pediatr. 2006;148:325.

    Fry RD, Mahmoud N, Maron DJ, Ross HM, Rombeau J. Colon and rectum. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 50.

    Rutgeerts P, Vermeire S, Van Assche G. Biological therapies for inflammatory bowel diseases. Gastroenterology. 2009;136(4):1182-1197.