Book chapter
Fulminant Colitis
50 Landmark Papers, pp 145-150
2022
Abstract
In a patient with colitis, the term "fulminant" denotes a rapidly deteriorating condition with systemic toxicity and progression to multiorgan failure and, possibly, death if not managed aggressively. Originally identified as the cause of pseudomembranous colitis in 1978, C. difficile has emerged as a major cause of nosocomial infections. In patients with inflammatory bowel disease, fulminant colitis (FC) is seen more often with ulcerative colitis (UC) than Crohn's colitis. Severity of UC has been commonly classified according to the criteria by S. C. Truelove and L. J. Witts as mild or severe depending on the number of daily bowel movements, temperature, heart rate, anemia, and erythrocyte sedimentation rate. Causes of ischemic colitis are generally divided into occlusive disease and non-occlusive disease. Clinicians should be cognizant of common causes of FC and maintain a heightened awareness of the need for operative intervention. A multidisciplinary approach to management including critical care practitioners, gastroenterologists, and surgeons is necessary to optimize outcomes.
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Details
- Title
- Fulminant Colitis
- Creators
- Michael F. MussoAdrian W. Ong
- Publication Details
- 50 Landmark Papers, pp 145-150
- Publisher
- CRC Press
- Edition
- 1
- Resource Type
- Book chapter
- Language
- English
- Academic Unit
- Surgery
- Other Identifier
- 991022020636404721