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Indications for surgery

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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With ulcerative colitis, emergency surgery is indicated for:

  • haemorrhage
  • perforation
  • toxic megacolon
  • severe flares which have failed course of high dose steroids, complete bowel rest and intravenous feeding
  • development of colonic carcinoma

Elective surgery is indicated for:

  • intractable symptoms
  • long-standing active disease which increases the risk of carcinoma
  • intolerable side effects of medical treatment
  • development of mucosal dysplasia
  • diagnosis of carcinoma
  • colonic stricture
  • growth retardation in children (1)

Reference:

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