Ulcerative Colitis a look inside
Keywords:
ULCERATIVE COLITIS, CROHN DISEASE, INFLAMMATORY BOWEL DISEASES.Abstract
Introduction: ulcerative colitis is a chronic recurrent disease of the gastrointestinal tract, it evolves due to relapses, and together with Crohn’s disease constitutes an inflammatory intestinal disease, it shows an increase in its incidence in most reports during the last decade and Cuba is not an exception.
Objective: to characterize this disease clinical-endoscopic and histologically.
Method: descriptive and retrospective research of patients diagnosed with histological colitis. Variables such as: age, sex, histology, result of lower digestive endoscopy, clinical manifestations, most frequent localization and treatment. The frequency distribution analysis was used.
Results: a predominance of the disease was shown in the third and fourth decade of life in 29.7 % of the patients, predominant symptom was diarrhea, 29 had dysplasia, left colitis was the most frequent form of extension of ulcerative colitis in its moderate variety in 39.2%, with the use of 5-ASA as a fundamental treatment in 72.9% of cases.
Conclusions: providing the early diagnosis of the clinical stage in which the patient can be found, as well as the early endoscopic findings, will allow a better control of the process, therefore the objectives of treatment in ulcerative colitis are: to improve the general well-being of the patient, to optimize quality of life, treat acute illness.
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1. Chao Gonzales L. Colitis ulcerosa. Enfermedad inflamatoria crónica del intestino En: Paniagua Esteves ME, Piñol Jiménez FN. Gastroenterología y hepatología clínica. La Habana: Editorial Ciencias Médicas; 2015. pp.1364-1408. Disponible en: http://www.bvs.sld.cu/libros/gastroenterologia_hepatologia_tomo4/gastroenterologia_tomo4_completo.pdf
2. Shirazi KM, Somi MH, Bafandeh Y, Saremi F, Mylanchy N. Epidemiological and Clinical Characteristics of Inflammatory Bowel Disease in Patients from Northwestern Iran. Middle East Journal of Digestive Diseases [Internet] 2013 April [citado 23 Oct 2017]; 5 (2) Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3990142/
3. Osterman M, Lichtenstein G .Ulcerative colitis. Small and Large intestine In: Sleisenger and Fordtran’s Gastrointestinal and Liver diseases. 10th ed. Philadelphia: Elsevier Saunders; 2016. pp. 1975-2012. https://books.google.es/books?hl=es&lr=&id=zEZOqB6r9hwC&oi=fnd&pg=PP1&dq=Gastrointestinal+and+Liver+diseases.&ots=iIHPvR5ME9&sig=s5e4IcD1UkLEflDA1PaHb3mS3g8#v=onepage&q=Gastrointestinal%20and%20Liver%20diseases.&f=false
4. Hano García OM, Andrade Gomes S, Villa Jiménez OM, González Fabian L, Wood Rodríguez L. Caracterización de pacientes con colitis ulcerosa atendidos en centro de nivel terciario. Revista Cubana de Medicina [Internet]. 2016[citado 23 Oct 2017] ;55(1): 46-58.Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-75232016000100005
5. Bernstein C, Eliakim A, Fedail S, Fried M, Gearry R, Lee Goh K. Enfermedad intestinal inflamatoria. Guías mundiales de la WGO. World Gastroenterology Organization [Internet]. 2015 [citado 23 Oct 2017]. Disponible en: http://www.worldgastroenterology.org/UserFiles/file/guidelines/inflammatory-bowel-disease-spanish-2015.pdf
6. Laine L, Kaltenbach T, Barkun A, McQuaid KR, Subramanian V, Soetikno R, et al. SCENIC international consensus statement on surveillance and management of dysplasia in inflammatory bowel disease. Gastroenterology [Internet] 2015;81 (3):489-501.e26. Disponible en: http://www.giejournal.org/article/S0016-5107%2814%2902578-4/pdf
7. Colina F, Ibarrola C, Salamanca J, López Alonso G, Rodríguez Gil Y. Guía para la interpretación de biopsias endoscópicas con sospecha de enfermedad inflamatoria intestinal idiopática. Rev Esp Patol [Internet]. 2014 [citado 23 Oct 2017]; 47(3):161-77. Disponible en: http://www.elsevier.es/es-revista-revista-espanola-patologia-297-articulo-guia-interpretacion-biopsias-endoscopicas-con-S1699885514000373
8. Mosli MH, Feagan BG, Sandborn WJ, D’Haens G, Behling C, Kaplan K, et al . Histologic evaluation of ulcerative colitis: A systematic review of disease activity indices. InflammBowelDis [Internet]. 2014 [citado 23 Oct 2017]; 20(3):564-75. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/24412993
9. Morales Polanco S, Waller González LA. Validación del Índice de Severidad Endoscópico de Colitis Ulcerativa para la población mexicana. Endoscopia[Internet]. 2016[citado 23 Oct 2017]; 28(1): 2–8.Disponible en:www.sciencedirect.com/science/article/pii/S0188989316300021.
10. Mayer L, Simian D, Kronberg U, Estay C, Lubascher J, Figueroa C, Quera R. Desarrollo de neoplasia en pacientes con enfermedad inflamatoria intestinal. Rev Med Chile [Internet].2015 [citado 23 Oct 2017] ; 143: 834-40. Disponible en: http://www.scielo.cl/pdf/rmc/v143n7/art02.pdf
11. Castaño Milla C, Chaparro M, Gisbert JP. Systematic review with meta-analysis: the declining risk of colorectal cancer in ulcerative colitis. Aliment Pharmacol Ther[Internet].2014 [citado 23 Oct 2017];39(7):645–59.Disponible en: http://onlinelibrary.wiley.com/doi/10.1111/apt.12651/full
12. Baños FJ, Grillo CF, Galiano de Sánchez MT, García Duperly R, Bonilla DA, Guerrero DM. Guía de práctica clínica para el diagnóstico y tratamiento de la colitis ulcerativa en población adulta. Rev Col Gastroenterol[Internet]. 2015 [citado 23 Oct 2017]; 30 (1): 75–88. Disponible en: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0120-99572015000500009&lng=es&nrm=is.&tlng=es
13. Dignass A, Lindsay JO, Sturm A, Windsor A, Colombel F, Allez M. Segundo consenso europeo basado en evidencia sobre el diagnóstic y manejo de la colitis ulcerosa crónica idiopática. Parte 2: tratamiento actual. Revista de Gastroenterología de México [Internet]. 2015 [citado 23 Oct 2017];80(1):32-73. Disponible en: http://www.revistagastroenterologiamexico.org/es/segundo-consenso-europeo-basado-evidencia/articulo/S0375090615000105/
14. Bressler B, Marshall JK, Bernstein CN, Bitton A, Jones J et al. Clinical practice guidelines for the medical management of nonhospitalized ulcerative colitis: The Toronto consensus. Gastroenterology [Internet]. 2015 [citado 23 Oct 2017]; 148:1035-58. Disponible en: https://www.cag-acg.org/images/publications/cpg_toronto_consensus_on_uc_may2015.pdf
15. Yamamoto Furusho FK, Bosques Padilla F, de Paula J, Galiano MT, Ibañez P, Juliao F. Diagnóstico y tratamiento de la enfermedad inflamatoria intestinal: Primer Consenso Latinoamericano de la Pan American Crohn’s and Colitis Organisation. Revista de Gastroenterología de México [Internet]. 2017 [citado 23 Oct 2017]; 82(1): 46-84.Disponible en:http://www.revistagastroenterologiamexico.org/es/diagnostico-tratamiento-enfermedad-inflamatoria-intestinal/articulo/S0375090616300829/

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