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KMID : 0988920170150030266
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Intestinal Research
2017 Volume.15 No. 3 p.266 ~ p.284
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Management of ulcerative colitis in Taiwan: consensus guideline of the Taiwan Society of Inflammatory Bowel Disease
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Wei Shu Chen
Chang Ting An
Chao Te Hsin
Chen Jinn Shiun
Chou Jen Wei
Chou Yenn Hwei
Chuang Chiao Hsiung
Hsu Wen Hung
Huang Tien Yu
Hsu Tzu Chi
Lin Chun Chi
Lin Hung Hsin
Lin Jen Kou
Lin Wei Chen
Ni Yen Hsuan
Shieh Ming Jium
Shih I Lun
Shun Chia Tung
Tsang Yuk Ming
Wang Cheng Yi
Wang Horng Yuan
Weng Meng Tzu
Wu Deng Chyang
Wu Wen Chieh
Yen Hsu Heng
Wong Jau Min
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Abstract
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Ulcerative colitis (UC) is an inflammatory bowel disease characterized by chronic mucosal inflammation of the colon, and the prevalence and incidence of UC have been steadily increasing in Taiwan. A steering committee was established by the Taiwan Society of Inflammatory Bowel Disease to formulate statements on the diagnosis and management of UC taking into account currently available evidence and the expert opinion of the committee. Accurate diagnosis of UC requires thorough clinical, endoscopic, and histological assessment and careful exclusion of differential diagnoses, particularly infectious colitis. The goals of UC therapy are to induce and maintain remission, reduce the risk of complications, and improve quality of life. As outlined in the recommended treatment algorithm, choice of treatment is dictated by severity, extent, and course of disease. Patients should be evaluated for hepatitis B virus and tuberculosis infection prior to immunosuppressive treatment, especially with steroids and biologic agents, and should be regularly monitored for reactivation of latent infection. These consensus statements are also based on current local evidence with consideration of factors, and could be serve as concise and practical guidelines for supporting clinicians in the management of UC in Taiwan.
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KEYWORD
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Taiwan, Ulcerative colitis, Inflammatory bowel disease, Disease management, Consensus statements
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