Ulcerative colitis secondary prevention: Difference between revisions
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{{Ulcerative colitis}} | {{Ulcerative colitis}} | ||
{{CMG}} | {{CMG}}; {{AE}}{{TarekNafee}} | ||
==Overview== | ==Overview== | ||
Due to the risk of [[colon cancer]] associated with ulcerative colitis. screening with [[colonoscopy]] is recommended for secondary prevention of ulcerative colitis. Adherence to maintenance therapy is recommended for secondary prevention of acute exacerbation of colitis. | Due to the risk of [[colon cancer]] associated with ulcerative colitis. screening with [[colonoscopy]] is recommended for secondary prevention of ulcerative colitis. Adherence to maintenance therapy is recommended for secondary prevention of acute exacerbation of colitis.<ref name="pmid20068560">{{cite journal| author=Kornbluth A, Sachar DB, Practice Parameters Committee of the American College of Gastroenterology| title=Ulcerative colitis practice guidelines in adults: American College Of Gastroenterology, Practice Parameters Committee. | journal=Am J Gastroenterol | year= 2010 | volume= 105 | issue= 3 | pages= 501-23; quiz 524 | pmid=20068560 | doi=10.1038/ajg.2009.727 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20068560 }} </ref> | ||
==Secondary Prevention== | ==Secondary Prevention== | ||
Due to the risk of [[colon cancer]] associated with ulcerative colitis, screening with [[colonoscopy]] is recommended. The American Cancer Society recommends | Due to the risk of [[colon cancer]] associated with ulcerative colitis, screening with [[colonoscopy]] is recommended. The American Cancer Society recommends the following schedule for [[colonoscopy]]:<ref name="pmid20068560">{{cite journal| author=Kornbluth A, Sachar DB, Practice Parameters Committee of the American College of Gastroenterology| title=Ulcerative colitis practice guidelines in adults: American College Of Gastroenterology, Practice Parameters Committee. | journal=Am J Gastroenterol | year= 2010 | volume= 105 | issue= 3 | pages= 501-23; quiz 524 | pmid=20068560 | doi=10.1038/ajg.2009.727 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20068560 }} </ref> | ||
* 8 years after diagnosis with severe disease, or when most of, or the entire, large intestine is involved | * First [[colonoscopy]] 8 years after diagnosis 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 | * First [[colonoscopy]] 12 - 15 years after diagnosis when only the left side of the large intestine is involved | ||
* Follow-up [[colonoscopy]] should be performed every 1 - 2 years | * Follow-up [[colonoscopy]] should be performed every 1 - 2 years | ||
== References == | == References == | ||
{{Reflist|2}} | {{Reflist|2}} |
Latest revision as of 18:05, 21 May 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Tarek Nafee, M.D. [2]
Overview
Due to the risk of colon cancer associated with ulcerative colitis. screening with colonoscopy is recommended for secondary prevention of ulcerative colitis. Adherence to maintenance therapy is recommended for secondary prevention of acute exacerbation of colitis.[1]
Secondary Prevention
Due to the risk of colon cancer associated with ulcerative colitis, screening with colonoscopy is recommended. The American Cancer Society recommends the following schedule for colonoscopy:[1]
- First colonoscopy 8 years after diagnosis with severe disease, or when most of, or the entire, large intestine is involved
- First colonoscopy 12 - 15 years after diagnosis when only the left side of the large intestine is involved
- Follow-up colonoscopy should be performed every 1 - 2 years
References
- ↑ 1.0 1.1 Kornbluth A, Sachar DB, Practice Parameters Committee of the American College of Gastroenterology (2010). "Ulcerative colitis practice guidelines in adults: American College Of Gastroenterology, Practice Parameters Committee". Am J Gastroenterol. 105 (3): 501–23, quiz 524. doi:10.1038/ajg.2009.727. PMID 20068560.