Therapeutic Strategy for Recurrent Ulcerative Colitis
Ulcerative Colitis (UC) is a chronic idiopathic inflammation that appears from the rectum and can extend to colon causing diffuse friability and superficiality. In this case report, Woman, 44 years old, admitted to hospital because of bloody diarrhea, frequency of 4-6 times daily with mucous, malais...
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Interna Publishing
2024-12-01
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| Series: | The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy |
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| Online Access: | https://ina-jghe.com/index.php/jghe/article/view/1008 |
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| author | Anak Agung Ngurah Satya Pranata I Made Suma Wirawan Anak Agung Istri Sri Kumala Dewi Novitasari . |
| author_facet | Anak Agung Ngurah Satya Pranata I Made Suma Wirawan Anak Agung Istri Sri Kumala Dewi Novitasari . |
| author_sort | Anak Agung Ngurah Satya Pranata |
| collection | DOAJ |
| description | Ulcerative Colitis (UC) is a chronic idiopathic inflammation that appears from the rectum and can extend to colon causing diffuse friability and superficiality. In this case report, Woman, 44 years old, admitted to hospital because of bloody diarrhea, frequency of 4-6 times daily with mucous, malaise, and history of weight loss. Patient already had oral sulfasalazine and oral corticosteroid to maintain her condition, but she stopped the medication at will. On physical examination, showed anemic conjunctiva and increasing in bowel sound, fecal examination showed brown to red, porridge-like consistency, blood, mucous, and positive Benzidine test. Colonoscopy examination revealed, normal anus; in the sigmoid rectum, colon descendent found small swellings, an ulcer, and few bloody. On histopathology, epithelial surface with mucin depletiondistortion of crypt architecture, dilatation and elongation of crypt, as well as shortening of the crypt that does not reach muscular mucous and lamina propria contains solid aggregate inflammation cells, dominated by plasma cells. The patient was given combination of 5-aminosalicylates and glucocorticoids. On re-evaluation in week 8 of therapy, frequency of defecation becomes 1-2 times daily with no blood occurring and improvement on colonoscopy, rectal mucous, colon sigmoid improved, no bleeding and clean mucous. 5-aminosalicylates is the first treatment in UC, it also helps to achieve remission and prevent carcinoma development. UC is a disease that also causes extra-intestinal manifestation, so the treatment should be done holistically. Compliance and regular monitoring will help to improve the quality of life. |
| format | Article |
| id | doaj-art-9a3bfcafd37e4f0090c1b9af61a83a91 |
| institution | OA Journals |
| issn | 1411-4801 2302-8181 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Interna Publishing |
| record_format | Article |
| series | The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy |
| spelling | doaj-art-9a3bfcafd37e4f0090c1b9af61a83a912025-08-20T02:25:59ZengInterna PublishingThe Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy1411-48012302-81812024-12-0125327828310.24871/253202484-89900Therapeutic Strategy for Recurrent Ulcerative ColitisAnak Agung Ngurah Satya Pranata0I Made Suma Wirawan1Anak Agung Istri Sri Kumala Dewi2Novitasari .3Medical Intern, Department of Internal Medicine, Wangaya Regional General Hospital, BaliDepartment of Internal Medicine, Wangaya Teaching General Hospital/ Medical Faculty of Universitas Mahasaraswati Denpasar, BaliDepartment of Internal Medicine, Wangaya Teaching General Hospital/ Medical Faculty of Universitas Mahasaraswati Denpasar, BaliDepartment of Pathological Anatomy, Wangaya Regional General Hospital/Medical Faculty of Universitas Mahasaraswati Denpasar, BaliUlcerative Colitis (UC) is a chronic idiopathic inflammation that appears from the rectum and can extend to colon causing diffuse friability and superficiality. In this case report, Woman, 44 years old, admitted to hospital because of bloody diarrhea, frequency of 4-6 times daily with mucous, malaise, and history of weight loss. Patient already had oral sulfasalazine and oral corticosteroid to maintain her condition, but she stopped the medication at will. On physical examination, showed anemic conjunctiva and increasing in bowel sound, fecal examination showed brown to red, porridge-like consistency, blood, mucous, and positive Benzidine test. Colonoscopy examination revealed, normal anus; in the sigmoid rectum, colon descendent found small swellings, an ulcer, and few bloody. On histopathology, epithelial surface with mucin depletiondistortion of crypt architecture, dilatation and elongation of crypt, as well as shortening of the crypt that does not reach muscular mucous and lamina propria contains solid aggregate inflammation cells, dominated by plasma cells. The patient was given combination of 5-aminosalicylates and glucocorticoids. On re-evaluation in week 8 of therapy, frequency of defecation becomes 1-2 times daily with no blood occurring and improvement on colonoscopy, rectal mucous, colon sigmoid improved, no bleeding and clean mucous. 5-aminosalicylates is the first treatment in UC, it also helps to achieve remission and prevent carcinoma development. UC is a disease that also causes extra-intestinal manifestation, so the treatment should be done holistically. Compliance and regular monitoring will help to improve the quality of life.https://ina-jghe.com/index.php/jghe/article/view/1008gastrointestinal, irritable bowel syndrome, ulcerative colitis |
| spellingShingle | Anak Agung Ngurah Satya Pranata I Made Suma Wirawan Anak Agung Istri Sri Kumala Dewi Novitasari . Therapeutic Strategy for Recurrent Ulcerative Colitis The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy gastrointestinal, irritable bowel syndrome, ulcerative colitis |
| title | Therapeutic Strategy for Recurrent Ulcerative Colitis |
| title_full | Therapeutic Strategy for Recurrent Ulcerative Colitis |
| title_fullStr | Therapeutic Strategy for Recurrent Ulcerative Colitis |
| title_full_unstemmed | Therapeutic Strategy for Recurrent Ulcerative Colitis |
| title_short | Therapeutic Strategy for Recurrent Ulcerative Colitis |
| title_sort | therapeutic strategy for recurrent ulcerative colitis |
| topic | gastrointestinal, irritable bowel syndrome, ulcerative colitis |
| url | https://ina-jghe.com/index.php/jghe/article/view/1008 |
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