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Review
. 2014 Aug;2(3):161-8.
doi: 10.1093/gastro/gou028. Epub 2014 May 30.

Colonoscopic evaluation in ulcerative colitis

Affiliations
Review

Colonoscopic evaluation in ulcerative colitis

Elizabeth R Paine. Gastroenterol Rep (Oxf). 2014 Aug.

Abstract

Colonoscopic evaluation is an important tool in the evaluation of ulcerative colitis (UC). UC is divided by disease extent into proctitis, proctosigmoiditis, left-sided colitis, and pan-colitis. In addition, a cecal or peri-appendiceal patch and backwash ileitis are associated with UC. The extent and behavior of UC has been characterized further using various indices and scoring systems; among these systems is the Mayo Score, which is widely used in current clinical trials for new medications. As these medical therapies for UC have developed, achieving mucosal healing with medications has become an important therapeutic objective.

Keywords: colonoscopic evaluation; disease activity; mucosal healing; ulcerative colitis.

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Figures

Figure 1.
Figure 1.
Ulcerative proctitis.
Figure 2.
Figure 2.
Backwash ileitis in a UC patient.
Figure 3.
Figure 3.
Backwash ileitis with a widely patent ileocecal valve in a UC patient.
Figure 4.
Figure 4.
Mucosal healing after effective therapy.

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