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Inflammatory bowel disease

Prevalence
Clinical features
Differential Diagnosis
Investigations
Therapy
Prevention
Prognosis
Prognosis

Disease extension is common in ulcerative colitis. The risk is increased with: b  
  • toxic, fulminant or severe colitis 
  • joint symptoms 
  • left-sided disease at diagnosis 

Note:

  • 61% of patients with ulcerative colitis have disease extension (95% CI: 58% to 64%) b  

Ulcerative colitis severe colitis, left-sided disease and joint symptoms increase the risk of disease extension

Patient Prognostic Factor Outcome CER OR
(95% CI)
NNF+
(95% CI)
ulcerative colitis b toxic, fulminant or severe colitis
not independent
disease extension
at 13 years
61%
(58% to 64%)
14.8
(3.5 to 63.1)
2
(2 to 4)
  left-sided disease extent at diagnosis
independent
disease extension
at 13 years
  2.5
(1.6 to 3.9)
5
(4 to 9)
  joint symptoms
independent
disease extension
at 13 years
  3.7
(1.6 to 8.6)
4
(3 to 9)
 


Expiry date: July 2003
Levels of Evidence used in grading these guides

Author   CM   Ball
Reviewer   L   Friedman
CAT Writers   D   Ford , CM   Ball