Managing ulcerative colitis after surgery
Management of ulcerative colitis after surgery suggested by guidelines (total proctocolectomy with ileal-pouch anal anastomosis) is a big challenge for physicians because patients who believed that their disease had been cured started experiencing very uncomfortable symptoms repeatedly. A high numbe...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-01-01
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| Series: | Frontiers in Medicine |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2022.1081940/full |
| _version_ | 1797961514501537792 |
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| author | Cristina Calvino-Suarez Rocío Ferreiro-Iglesias Iria Baston Rey Manuel Barreiro-de Acosta |
| author_facet | Cristina Calvino-Suarez Rocío Ferreiro-Iglesias Iria Baston Rey Manuel Barreiro-de Acosta |
| author_sort | Cristina Calvino-Suarez |
| collection | DOAJ |
| description | Management of ulcerative colitis after surgery suggested by guidelines (total proctocolectomy with ileal-pouch anal anastomosis) is a big challenge for physicians because patients who believed that their disease had been cured started experiencing very uncomfortable symptoms repeatedly. A high number of patients develop episodes of pouchitis, which is a non-specific inflammation of the pouch whose etiology is unknown. Antibiotics are the elective treatment for acute pouchitis, but regarding chronic pouchitis, this condition is very complicated to treat due to the absence of well-designed specific studies for this group of patients. Antibiotics, budesonide, and biological therapies are some of the recommended drugs for these patients, but despite their use, some need a permanent ileostomy. |
| first_indexed | 2024-04-11T01:00:22Z |
| format | Article |
| id | doaj.art-f0699d6722ca44ccab60ac2dcbab0c0a |
| institution | Directory Open Access Journal |
| issn | 2296-858X |
| language | English |
| last_indexed | 2024-04-11T01:00:22Z |
| publishDate | 2023-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj.art-f0699d6722ca44ccab60ac2dcbab0c0a2023-01-04T18:45:32ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2023-01-01910.3389/fmed.2022.10819401081940Managing ulcerative colitis after surgeryCristina Calvino-SuarezRocío Ferreiro-IglesiasIria Baston ReyManuel Barreiro-de AcostaManagement of ulcerative colitis after surgery suggested by guidelines (total proctocolectomy with ileal-pouch anal anastomosis) is a big challenge for physicians because patients who believed that their disease had been cured started experiencing very uncomfortable symptoms repeatedly. A high number of patients develop episodes of pouchitis, which is a non-specific inflammation of the pouch whose etiology is unknown. Antibiotics are the elective treatment for acute pouchitis, but regarding chronic pouchitis, this condition is very complicated to treat due to the absence of well-designed specific studies for this group of patients. Antibiotics, budesonide, and biological therapies are some of the recommended drugs for these patients, but despite their use, some need a permanent ileostomy.https://www.frontiersin.org/articles/10.3389/fmed.2022.1081940/fullpouchitisulcerative colitiscolectomyantibioticsbiologic therapy |
| spellingShingle | Cristina Calvino-Suarez Rocío Ferreiro-Iglesias Iria Baston Rey Manuel Barreiro-de Acosta Managing ulcerative colitis after surgery Frontiers in Medicine pouchitis ulcerative colitis colectomy antibiotics biologic therapy |
| title | Managing ulcerative colitis after surgery |
| title_full | Managing ulcerative colitis after surgery |
| title_fullStr | Managing ulcerative colitis after surgery |
| title_full_unstemmed | Managing ulcerative colitis after surgery |
| title_short | Managing ulcerative colitis after surgery |
| title_sort | managing ulcerative colitis after surgery |
| topic | pouchitis ulcerative colitis colectomy antibiotics biologic therapy |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2022.1081940/full |
| work_keys_str_mv | AT cristinacalvinosuarez managingulcerativecolitisaftersurgery AT rocioferreiroiglesias managingulcerativecolitisaftersurgery AT iriabastonrey managingulcerativecolitisaftersurgery AT manuelbarreirodeacosta managingulcerativecolitisaftersurgery |