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Ulcerative Colitis
Michael P. Federle, MD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Abbreviations

                • Ulcerative colitis (UC)
              • Definitions

                • Chronic, idiopathic, diffuse, inflammatory disease primarily involving colorectal mucosa 

              IMAGING

              • General Features

                • Fluoroscopic Findings

                  • CT Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Gross Pathologic & Surgical Features

                            • Microscopic Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        • Image Interpretation Pearls

                                          Selected References

                                          1. Bickston SJ et al: Vedolizumab for induction and maintenance of remission in ulcerative colitis. Cochrane Database Syst Rev. 8:CD007571, 2014
                                          2. Gionchetti P et al: IBD. Sequential rescue therapy in steroid-refractory ulcerative colitis. Nat Rev Gastroenterol Hepatol. 11(9):521-3, 2014
                                          3. Lee YY et al: Are we ready for combination therapy in moderate-to-severe ulcerative colitis? Gastroenterology. 147(2):544, 2014
                                          4. Marineaţă A et al: Extra intestinal manifestations and complications in inflammatory bowel disease. Rev Med Chir Soc Med Nat Iasi. 118(2):279-88, 2014
                                          5. Patel NS et al: Outcomes of computed tomography and magnetic resonance enterography in clinical practice of inflammatory bowel disease. Dig Dis Sci. 59(4):838-49, 2014
                                          6. Reich KM et al: The incidence rate of colectomy for medically refractory ulcerative colitis has declined in parallel with increasing anti-TNF use: a time-trend study. Aliment Pharmacol Ther. 40(6):629-38, 2014
                                          7. Hammer MR et al: Multidetector computed tomographic and magnetic resonance enterography in children: state of the art. Radiol Clin North Am. 51(4):615-36, 2013
                                          8. Hristova L et al: Colorectal cancer in inflammatory bowel diseases: CT features with pathological correlation. Abdom Imaging. 38(3):421-35, 2013
                                          9. Israeli E et al: The impact of abdominal computed tomography in a tertiary referral centre emergency department on the management of patients with inflammatory bowel disease. Aliment Pharmacol Ther. 38(5):513-21, 2013
                                          10. Perlman SB et al: PET/CT imaging of inflammatory bowel disease. Semin Nucl Med. 43(6):420-6, 2013
                                          11. Swanson G et al: Diagnostic medical radiation in inflammatory bowel disease: how to limit risk and maximize benefit. Inflamm Bowel Dis. 19(11):2501-8, 2013
                                          12. Autenrieth DM et al: Toxic megacolon. Inflamm Bowel Dis. 18(3):584-91, 2012
                                          13. Kroeker KI et al: Patients with IBD are exposed to high levels of ionizing radiation through CT scan diagnostic imaging: a five-year study. J Clin Gastroenterol. 45(1):34-9, 2011
                                          14. Lefèvre A et al: Multiple intra-abdominal venous thrombosis in ulcerative colitis: role of MDCT for detection. Clin Imaging. 35(1):68-72, 2011
                                          15. Sagara S et al: Acute respiratory distress syndrome associated with severe ulcerative colitis. World J Gastroenterol. 16(19):2440-2, 2010
                                          16. Yilmaz A et al: Pulmonary involvement in inflammatory bowel disease. World J Gastroenterol. 16(39):4952-7, 2010
                                          17. Ahmadi A et al: Colorectal cancer surveillance in inflammatory bowel disease: the search continues. World J Gastroenterol. 15(1):61-6, 2009
                                          18. da Luz Moreira A et al: Does CT influence the decision to perform colectomy in patients with severe ulcerative colitis?. J Gastrointest Surg. 13(3):504-7, 2009
                                          19. Haboubi N: Small bowel inflammation in ulcerative colitis. Colorectal Dis. 8(4):245-6, 2006
                                          20. Hanauer SB: New lessons: classic treatments, expanding options in ulcerative colitis. Colorectal Dis. 8 Suppl 1:20-4, 2006
                                          21. Hancock L et al: Inflammatory bowel disease: the view of the surgeon. Colorectal Dis. 8 Suppl 1:10-4, 2006
                                          22. Rutter MD et al: Thirty-year analysis of a colonoscopic surveillance program for neoplasia in ulcerative colitis. Gastroenterology. 130(4):1030-8, 2006
                                          23. Sandborn WJ: What's new: innovative concepts in inflammatory bowel disease. Colorectal Dis. 8 Suppl 1:3-9, 2006
                                          24. Carucci LR et al: Radiographic imaging of inflammatory bowel disease. Gastroenterol Clin North Am. 31(1):93-117, ix, 2002
                                          25. Horton KM et al: CT evaluation of the colon: inflammatory disease. Radiographics. 20(2):399-418, 2000
                                          Related Anatomy
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                                          Related Differential Diagnoses
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                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Terminology

                                            • Imaging

                                              • Top Differential Diagnoses

                                                • Pathology

                                                  • Clinical Issues

                                                    • Diagnostic Checklist

                                                      TERMINOLOGY

                                                      • Abbreviations

                                                        • Ulcerative colitis (UC)
                                                      • Definitions

                                                        • Chronic, idiopathic, diffuse, inflammatory disease primarily involving colorectal mucosa 

                                                      IMAGING

                                                      • General Features

                                                        • Fluoroscopic Findings

                                                          • CT Findings

                                                            • Imaging Recommendations

                                                              DIFFERENTIAL DIAGNOSIS

                                                                PATHOLOGY

                                                                • General Features

                                                                  • Gross Pathologic & Surgical Features

                                                                    • Microscopic Features

                                                                      CLINICAL ISSUES

                                                                      • Presentation

                                                                        • Demographics

                                                                          • Natural History & Prognosis

                                                                            • Treatment

                                                                              DIAGNOSTIC CHECKLIST

                                                                              • Consider

                                                                                • Image Interpretation Pearls

                                                                                  Selected References

                                                                                  1. Bickston SJ et al: Vedolizumab for induction and maintenance of remission in ulcerative colitis. Cochrane Database Syst Rev. 8:CD007571, 2014
                                                                                  2. Gionchetti P et al: IBD. Sequential rescue therapy in steroid-refractory ulcerative colitis. Nat Rev Gastroenterol Hepatol. 11(9):521-3, 2014
                                                                                  3. Lee YY et al: Are we ready for combination therapy in moderate-to-severe ulcerative colitis? Gastroenterology. 147(2):544, 2014
                                                                                  4. Marineaţă A et al: Extra intestinal manifestations and complications in inflammatory bowel disease. Rev Med Chir Soc Med Nat Iasi. 118(2):279-88, 2014
                                                                                  5. Patel NS et al: Outcomes of computed tomography and magnetic resonance enterography in clinical practice of inflammatory bowel disease. Dig Dis Sci. 59(4):838-49, 2014
                                                                                  6. Reich KM et al: The incidence rate of colectomy for medically refractory ulcerative colitis has declined in parallel with increasing anti-TNF use: a time-trend study. Aliment Pharmacol Ther. 40(6):629-38, 2014
                                                                                  7. Hammer MR et al: Multidetector computed tomographic and magnetic resonance enterography in children: state of the art. Radiol Clin North Am. 51(4):615-36, 2013
                                                                                  8. Hristova L et al: Colorectal cancer in inflammatory bowel diseases: CT features with pathological correlation. Abdom Imaging. 38(3):421-35, 2013
                                                                                  9. Israeli E et al: The impact of abdominal computed tomography in a tertiary referral centre emergency department on the management of patients with inflammatory bowel disease. Aliment Pharmacol Ther. 38(5):513-21, 2013
                                                                                  10. Perlman SB et al: PET/CT imaging of inflammatory bowel disease. Semin Nucl Med. 43(6):420-6, 2013
                                                                                  11. Swanson G et al: Diagnostic medical radiation in inflammatory bowel disease: how to limit risk and maximize benefit. Inflamm Bowel Dis. 19(11):2501-8, 2013
                                                                                  12. Autenrieth DM et al: Toxic megacolon. Inflamm Bowel Dis. 18(3):584-91, 2012
                                                                                  13. Kroeker KI et al: Patients with IBD are exposed to high levels of ionizing radiation through CT scan diagnostic imaging: a five-year study. J Clin Gastroenterol. 45(1):34-9, 2011
                                                                                  14. Lefèvre A et al: Multiple intra-abdominal venous thrombosis in ulcerative colitis: role of MDCT for detection. Clin Imaging. 35(1):68-72, 2011
                                                                                  15. Sagara S et al: Acute respiratory distress syndrome associated with severe ulcerative colitis. World J Gastroenterol. 16(19):2440-2, 2010
                                                                                  16. Yilmaz A et al: Pulmonary involvement in inflammatory bowel disease. World J Gastroenterol. 16(39):4952-7, 2010
                                                                                  17. Ahmadi A et al: Colorectal cancer surveillance in inflammatory bowel disease: the search continues. World J Gastroenterol. 15(1):61-6, 2009
                                                                                  18. da Luz Moreira A et al: Does CT influence the decision to perform colectomy in patients with severe ulcerative colitis?. J Gastrointest Surg. 13(3):504-7, 2009
                                                                                  19. Haboubi N: Small bowel inflammation in ulcerative colitis. Colorectal Dis. 8(4):245-6, 2006
                                                                                  20. Hanauer SB: New lessons: classic treatments, expanding options in ulcerative colitis. Colorectal Dis. 8 Suppl 1:20-4, 2006
                                                                                  21. Hancock L et al: Inflammatory bowel disease: the view of the surgeon. Colorectal Dis. 8 Suppl 1:10-4, 2006
                                                                                  22. Rutter MD et al: Thirty-year analysis of a colonoscopic surveillance program for neoplasia in ulcerative colitis. Gastroenterology. 130(4):1030-8, 2006
                                                                                  23. Sandborn WJ: What's new: innovative concepts in inflammatory bowel disease. Colorectal Dis. 8 Suppl 1:3-9, 2006
                                                                                  24. Carucci LR et al: Radiographic imaging of inflammatory bowel disease. Gastroenterol Clin North Am. 31(1):93-117, ix, 2002
                                                                                  25. Horton KM et al: CT evaluation of the colon: inflammatory disease. Radiographics. 20(2):399-418, 2000