Fulminant ulcerative colitis

  • Clarence K. W. Wong
  • B. R. Yacyshyn

DOI: 10.1007/s11938-000-0025-8

Cite this article as:
Wong, C.K.W. & Yacyshyn, B.R. Curr Treat Options Gastro (2000) 3: 217. doi:10.1007/s11938-000-0025-8

Opinion statement

  • Fulminant ulcerative colitis necessitates immediate hospitalization.

  • Supportive therapy such as aggressive rehydration, restriction of oral intake, and consideration of parenteral nutrition should be initiated.

  • High-dose intravenous steroids should be started in almost all cases.

  • Antibiotics and cyclosporine should be considered, especially in disease refractory to steroid therapy.

  • Indications for surgery should always be kept in mind, and early involvement of the surgical team is always encouraged.

  • Avoidance of life-threatening complications such as toxic megacolon, hemorrhage, and perforation is the goal of any treatment for fulminant ulcerative colitis.

Copyright information

© Current Science Inc 2000

Authors and Affiliations

  • Clarence K. W. Wong
    • 2
  • B. R. Yacyshyn
    • 1
  1. 1.2E3.11, Walter MacKenzie Health Sciences CentreEdmontonCanada
  2. 2.Division of Gastroenterology, Department of MedicineUniversity of AlbertaEdmontonCanada