Medical Treatment Options for Ulcerative Colitis

Author:

Sleiman Joseph1,Bassi Mehak2,Tsipotis Evangelos3,Charabaty Aline4

Affiliation:

1. Department of Gastroenterology, Hepatology and Nutrition, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania

2. Division of Gastroenterology and Hepatology, Saint Peter's University Hospital, Rutgers University, New Brunswick, New Jersey

3. Division of Gastroenterology and Hepatology, Augusta University, Augusta, Georgia

4. Division of Gastroenterology and Hepatology, Johns Hopkins University, Baltimore, Maryland

Abstract

AbstractThe landscape of management of ulcerative colitis, a type of inflammatory bowel disease, continues to change with advancement in pharmaceutical options as well as clinical treatment targets. Ulcerative colitis primarily involves the superficial layers of the large bowel, and cause active inflammation that can affect the colon from the rectum to the cecum in a relapsing and a remitting course. In this review, we provide evidence-based guidance on the selection of appropriate medical therapies based on individual patient and disease characteristics, with a focus on biologics and small molecules. We also review the role of surgery and management of acute severe ulcerative colitis.

Publisher

Georg Thieme Verlag KG

Subject

Gastroenterology,Surgery

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