Ulcerative Colitis

Classification of inflammatory bowel disease (IBD)

Type Clinical Features 
Ulcerative colitis    
  • Chronic inflammatory condition with relapsing and remitting episodes of inflammation in colonic mucosal layer 
  • Involves colon in continuous manner without skip lesions 
    • Rectum (proctitis) 
    • Rectum and sigmoid colon (proctosigmoiditis) 
    • Colon to splenic flexure (left sided colitis) 
    • Extension beyond splenic flexure (extensive colitis) 
Crohn’s Disease   
  • Transmural inflammation of entire GI tract with skip lesions 
    • Segments of normal appearing areas interrupted by diseased areas 
  • Possible findings in GI tract 
    • Fibrosis 
    • Obstruction 
    • Sinus tracts (micro-perforation and fistulas) 
 
    • 80% of patients with small bowel involvement 
    • 50% of patients with involvement of ileum and colon 
    • 20% of patients with only colonic disease 
    • 33% of patients with perianal disease 
    • 5-15% have involvement of mouth or gastroduodenal area 
(Next Lesson) Possible pathogenesis of IBD
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