Management of ulcerative colitis: a clinical update

Detalhes bibliográficos
Autor(a) principal: Teixeira,Fabio Vieira
Data de Publicação: 2015
Outros Autores: Hosne,Rogerio Saad, Sobrado,Carlos Walter
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Journal of Coloproctology (Rio de Janeiro. Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632015000400230
Resumo: The objective of this study was to evaluate the consensus of expert societies and published guidelines on the management of ulcerative colitis, and to compare with the experience of the authors, in order to standardize procedures that would help the reasoning and decision- making process of the physician. A search was performed in scientific literature, specifically in electronic databases: Medline/Pubmed, SciELO, EMBASE and Cochrane, and the following descriptors were used: ulcerative colitis, acute colitis, clinical treatment, surgery and ran- domized trial. It can be concluded that the goals of therapy in ulcerative colitis are clinical and endoscopic remission, deep, sustained remission without corticosteroids, prevention of hospitalizations and surgeries, and improved quality of life. The surgical indications are reserved for selected cases, ranging from medical intractability, complications (severe refractory acute colitis, toxic megacolon, perforation and hemorrhage) and malignancy. Information in this review article must be submitted to evaluation and criticism of the spe- cialist responsible for the conduct to be followed, in the face of his/her reality and the clinical status of each patient. The degree of recommendation and strength of evidence were based using the GRADE sys- tem (The Grades of Recommendation, Assessment, Development, and Evaluation) described below: 1. A: Experimental or observational studies of higher consistency. 2. B: Experimental or observational studies of lower consistency. 3. C: Case reports (non-controlled studies). 4. D: Opinion without critical evaluation, based on consensus, physiological studies or animal models.
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spelling Management of ulcerative colitis: a clinical updateUlcerative colitisAcute colitisClinical treatmentSurgeryComplicationsThe objective of this study was to evaluate the consensus of expert societies and published guidelines on the management of ulcerative colitis, and to compare with the experience of the authors, in order to standardize procedures that would help the reasoning and decision- making process of the physician. A search was performed in scientific literature, specifically in electronic databases: Medline/Pubmed, SciELO, EMBASE and Cochrane, and the following descriptors were used: ulcerative colitis, acute colitis, clinical treatment, surgery and ran- domized trial. It can be concluded that the goals of therapy in ulcerative colitis are clinical and endoscopic remission, deep, sustained remission without corticosteroids, prevention of hospitalizations and surgeries, and improved quality of life. The surgical indications are reserved for selected cases, ranging from medical intractability, complications (severe refractory acute colitis, toxic megacolon, perforation and hemorrhage) and malignancy. Information in this review article must be submitted to evaluation and criticism of the spe- cialist responsible for the conduct to be followed, in the face of his/her reality and the clinical status of each patient. The degree of recommendation and strength of evidence were based using the GRADE sys- tem (The Grades of Recommendation, Assessment, Development, and Evaluation) described below: 1. A: Experimental or observational studies of higher consistency. 2. B: Experimental or observational studies of lower consistency. 3. C: Case reports (non-controlled studies). 4. D: Opinion without critical evaluation, based on consensus, physiological studies or animal models.Sociedade Brasileira de Coloproctologia2015-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632015000400230Journal of Coloproctology (Rio de Janeiro) v.35 n.4 2015reponame:Journal of Coloproctology (Rio de Janeiro. Online)instname:Sociedade Brasileira de Coloproctologia (SBCP)instacron:SBCP10.1016/j.jcol.2015.08.006info:eu-repo/semantics/openAccessTeixeira,Fabio VieiraHosne,Rogerio SaadSobrado,Carlos Waltereng2016-01-06T00:00:00Zoai:scielo:S2237-93632015000400230Revistahttp://www.scielo.br/scielo.php?script=sci_serial&pid=2237-9363&lng=pt&nrm=isohttps://old.scielo.br/oai/scielo-oai.php||sbcp@sbcp.org.br2317-64232237-9363opendoar:2016-01-06T00:00Journal of Coloproctology (Rio de Janeiro. Online) - Sociedade Brasileira de Coloproctologia (SBCP)false
dc.title.none.fl_str_mv Management of ulcerative colitis: a clinical update
title Management of ulcerative colitis: a clinical update
spellingShingle Management of ulcerative colitis: a clinical update
Teixeira,Fabio Vieira
Ulcerative colitis
Acute colitis
Clinical treatment
Surgery
Complications
title_short Management of ulcerative colitis: a clinical update
title_full Management of ulcerative colitis: a clinical update
title_fullStr Management of ulcerative colitis: a clinical update
title_full_unstemmed Management of ulcerative colitis: a clinical update
title_sort Management of ulcerative colitis: a clinical update
author Teixeira,Fabio Vieira
author_facet Teixeira,Fabio Vieira
Hosne,Rogerio Saad
Sobrado,Carlos Walter
author_role author
author2 Hosne,Rogerio Saad
Sobrado,Carlos Walter
author2_role author
author
dc.contributor.author.fl_str_mv Teixeira,Fabio Vieira
Hosne,Rogerio Saad
Sobrado,Carlos Walter
dc.subject.por.fl_str_mv Ulcerative colitis
Acute colitis
Clinical treatment
Surgery
Complications
topic Ulcerative colitis
Acute colitis
Clinical treatment
Surgery
Complications
description The objective of this study was to evaluate the consensus of expert societies and published guidelines on the management of ulcerative colitis, and to compare with the experience of the authors, in order to standardize procedures that would help the reasoning and decision- making process of the physician. A search was performed in scientific literature, specifically in electronic databases: Medline/Pubmed, SciELO, EMBASE and Cochrane, and the following descriptors were used: ulcerative colitis, acute colitis, clinical treatment, surgery and ran- domized trial. It can be concluded that the goals of therapy in ulcerative colitis are clinical and endoscopic remission, deep, sustained remission without corticosteroids, prevention of hospitalizations and surgeries, and improved quality of life. The surgical indications are reserved for selected cases, ranging from medical intractability, complications (severe refractory acute colitis, toxic megacolon, perforation and hemorrhage) and malignancy. Information in this review article must be submitted to evaluation and criticism of the spe- cialist responsible for the conduct to be followed, in the face of his/her reality and the clinical status of each patient. The degree of recommendation and strength of evidence were based using the GRADE sys- tem (The Grades of Recommendation, Assessment, Development, and Evaluation) described below: 1. A: Experimental or observational studies of higher consistency. 2. B: Experimental or observational studies of lower consistency. 3. C: Case reports (non-controlled studies). 4. D: Opinion without critical evaluation, based on consensus, physiological studies or animal models.
publishDate 2015
dc.date.none.fl_str_mv 2015-12-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632015000400230
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dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1016/j.jcol.2015.08.006
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Brasileira de Coloproctologia
publisher.none.fl_str_mv Sociedade Brasileira de Coloproctologia
dc.source.none.fl_str_mv Journal of Coloproctology (Rio de Janeiro) v.35 n.4 2015
reponame:Journal of Coloproctology (Rio de Janeiro. Online)
instname:Sociedade Brasileira de Coloproctologia (SBCP)
instacron:SBCP
instname_str Sociedade Brasileira de Coloproctologia (SBCP)
instacron_str SBCP
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reponame_str Journal of Coloproctology (Rio de Janeiro. Online)
collection Journal of Coloproctology (Rio de Janeiro. Online)
repository.name.fl_str_mv Journal of Coloproctology (Rio de Janeiro. Online) - Sociedade Brasileira de Coloproctologia (SBCP)
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