Document Detail


Inflammatory bowel disease (ulcerative colitis).
MedLine Citation:
PMID:  626556     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
There is uncertainty as to the proper management of a patient with chronic ulcerative colitis who has had his disease for over ten years but has not been sufficiently symptomatic to warrant colectomy. Not all patients are at high risk to develop cancer. Wide extent and long duration of disease are correlated with increased risk. The ability to define a patient at risk beyond these single criteria are very limited. The definition and efficacy of the precancerous lesion observed in rectal biopsies is still a matter of dispute, and the routine use of proctocolectomy for patients with long-standing colitis is still not universally accepted. Careful follow-up is obviously indicated, but it is still uncertain whether roentgenography, colonoscopy, colonic biopsy, or a combination of these methods will ultimately prove the procedure of choice.
Authors:
D Alpers; L V Avioli
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Archives of internal medicine     Volume:  138     ISSN:  0003-9926     ISO Abbreviation:  Arch. Intern. Med.     Publication Date:  1978 Feb 
Date Detail:
Created Date:  1978-04-17     Completed Date:  1978-04-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372440     Medline TA:  Arch Intern Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  286-91     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Chronic Disease
Colectomy
Colitis, Ulcerative* / diagnosis,  epidemiology,  surgery
Colonic Neoplasms / diagnosis
Diagnosis, Differential
Humans
Male
Precancerous Conditions / diagnosis
Rectum / surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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