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Ulcerative Colitis, Pediatric

Naamah Levy Zitomersky, MD Reviewed 10/2018
 


BASICS

DESCRIPTION

Ulcerative colitis (UC) is a chronic, relapsing, inflammatory disease of the colon, which extends continuously from the rectum proximally to a varying extent. UC is categorized as an...

DIAGNOSIS

Patients with UC typically present with bloody diarrhea, tenesmus, and lower quadrant abdominal pain. When symptoms become severe, weight loss, fatigue, and vomiting can be seen. Colonoscopy...

TREATMENT

MEDICATION

  • Mild disease can be treated with oral mesalamine, topical corticosteroid enema or foam, or mesalamine enema/suppositories.

  • For mild to moderate disease, Budesonide MMX® is a once-da...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Pediatric gastroenterology outpatient follow-up

  • Important parameters to follow routinely include abdominal symptoms, rectal bleeding, stool frequency/consistency, ...

ADDITIONAL READING

  • Bousvaros A, Antonioli DA, Colletti RB, et al. Differentiating ulcerative colitis from Crohn disease in children and young adults: report of a working group of the North American So...

CODES

ICD10

  • K51.90 Ulcerative colitis, unspecified, without complications

  • K51.80 Other ulcerative colitis without complications

  • K51.311 Ulcerative (chronic) rectosigmoiditis with rectal bleeding

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