Under an ulcerative colitis refers to a chronic inflammatory and ulcerative disease of the colonic mucosa, most often characterized by bloody diarrhea. Extra-intestinal symptoms, v. a. Arthritis, also occur. The long-term risk of colon cancer is high. Diagnosis is colonoscopy. Treatment is with 5-aminosalicylic acid, corticosteroids, immunomodulators, biologics, antibiotics and sometimes surgical approaches.

(See also Overview of inflammatory Darmerkrankheiten.)

Under an ulcerative colitis refers to a chronic inflammatory and ulcerative disease of the colonic mucosa, most often characterized by bloody diarrhea. Extra-intestinal symptoms, v. a. Arthritis, also occur. The long-term risk of colon cancer is high. Diagnosis is colonoscopy. Treatment is with 5-aminosalicylic acid, corticosteroids, immunomodulators, biologics, antibiotics and sometimes surgical approaches. (See also Overview of inflammatory Darmerkrankheiten.) Pathophysiology ulcerative colitis usually begins in the rectum. It can be limited to the rectum (ulcerative proctitis) or extend proximally, sometimes over the entire colon. Very rarely the entire colon is affected. The inflammation in ulcerative colitis affects the mucosa and the submucosa, and there is a sharp distinction between normal and affected tissue. Only serious illness, the muscular layer is affected. At the beginning of the disease, the mucous membrane is erythematous, feingranuliert and brittle, with loss of vascular architecture and often scattered hemorrhagic areas. Large Schleimhautulzera with abundant purulent exudate characterize severe disease. Islands of relatively normal or hyperplastic inflammatory mucosa (Pseudopolyps) extend beyond the areas of ulcerated mucosa. Fistulae and abscesses do not occur. Ulcerative colitis Photos courtesy of Drs. Aaron E. Walvis and Rafael A. Ching Companioni. var model = {thumbnailUrl: ‘/-/media/manual/professional/images/ulcerative_colitis_ibd_de.jpg?la=de&thn=0&mw=350’ imageUrl: ‘/-/media/manual/professional/images/ulcerative_colitis_ibd_de.jpg?la = en & thn = 0 ‘, title:’ ulcerative colitis ‘, description:’ u003Ca id = “v38395186 ” class = “”anchor “” u003e u003c / a u003e u003cdiv class = “”para “” u003e u003cp u003eDie colonoscopy findings in ulcerative colitis

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