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Ulcerative Colitis

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Abstract

Although perianal disease is well recognized as a major complication of Crohn’s disease (CD), its association with ulcerative colitis (UC) has been reported in up to 20–25% of patients [14]. Anorectal complications in UC patients include conditions such as hemorrhoids, skin tags, anal strictures, fissures, fistulas, and abscesses. Recent studies have focused on fistulas and abscesses, which are major complications of UC after ileal-pouch-anal-anas-tomosis (IPAA), although the spontaneous occurrence of these lesions has been reported in up to 5% of patients with an initial diagnosis of UC. In approximately 25% of these patients, the findings may change the initial diagnosis of UC over time [4].

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References

  1. de Dombal F, Watts J, Watkinson G, Goligher J (1996) Incidence and management of anorectal abscess, fistula, and fissure in patients with ulcerative colitis. Dis Colon Rectum 9:201–16

    Article  Google Scholar 

  2. Edwards F, Truelove SC (1964) The course and prognosis of ulcerative colitis. Part III Complications. Gut 32:1–22

    Google Scholar 

  3. Fuzy PZ (1961) Surgical management of anorectal complications of chronic ulcerative colitis. South Med J 54:795–817

    Article  Google Scholar 

  4. Zabana Y, Van Domselaar M, Garcia-Planella E et al. (2011) Perianal disease in patients with ulcerative colitis: A case-control study. J Crohn’s Colitis 5:338–341

    Article  Google Scholar 

  5. Melton GB, Kiran RP, Fazio VW, et al. (2010) Do preoperative factors predict subsequent diagnosis of Crohn’s disease after ileal pouch-anal anastomosis for ulcerative or indeterminate colitis? Colorectal Dis 12:1026–32

    Article  PubMed  CAS  Google Scholar 

  6. Tekkis PP, Fazio VW, Remzi F, et al. (2005) Risk factors associated with ileal pouch-related fistula following restorative proctocolectomy. Br J Surg 92:1270–6

    Article  PubMed  CAS  Google Scholar 

  7. Haveran LA, Sehgal R, Poritz LS, et al. (2011) Infliximab and/or azathioprine in the treatment of Crohn’s disease-like complications after IPAA. Dis Colon Rectum 54:15–20

    Article  PubMed  Google Scholar 

  8. Nisar PJ, Kiran RP, Shen B, et al. (2011) Factors associated with ileoanal pouch failure in patients developing early or late pouch-related fistula. Dis Colon Rectum. 54:446–53

    Article  PubMed  Google Scholar 

  9. Silvis R, van Eekelen JW, Delemarre JB, Gooszen HG (1995) Endosonography of the anal sphincter after ileal pouch-anal anastomosis. Relation with anal manometry and fecal conti- nence. Dis Colon Rectum 38:383–8

    Article  PubMed  CAS  Google Scholar 

  10. Yoshizawa S, Kobayashi K, Katsumata T, et al. (2007) Clinical usefulness of EUS for active ulcerative colitis. Gastrointest Endosc 65:253–60

    Article  PubMed  Google Scholar 

  11. Higaki S, Nohara H, Saitoh Y, et al. (2002) Increased rectal wall thickness may predict relapse in ulcerative colitis: a pilot follow-up study by ultrasonographic colonoscopy. Endoscopy 34:212–9

    PubMed  CAS  Google Scholar 

  12. Lew RJ, Ginsberg GG (2002) The role of endoscopic ultrasound in inflammatory bowel disease. Gastrointest Endosc Clin N Am 12:561–71

    Article  PubMed  Google Scholar 

  13. Rustemovic N, Cukovic-Cavka S, Brinar M, et al. (2011) A pilot study of transrectal endoscopic ultrasound elastography in inflammatory bowel disease. BMC Gastroenterol 11:113

    Article  PubMed  Google Scholar 

  14. Gast P (1999) Endorectal ultrasound in infectious colitis may predict development of chronic colitis. Endoscopy 31:265–8

    Article  PubMed  CAS  Google Scholar 

  15. Peschers UM, DeLancey JO, Schaer GN, Schuessler B (2007) Exoanal ultrasound of the anal sphincter: normal anatomy and sphincter defects. Br J Obstet Gynaecol 104:999–1003

    Google Scholar 

  16. Gosselink MP, West RL, Kuipers EJ, et al. (2005) Integrity of the anal sphincters after pouchanal anastomosis: evaluation with three-dimensional endoanal ultrasonography. Dis Colon Rectum 48:1728–1735

    Article  PubMed  Google Scholar 

  17. Beer-Gabel M, Assoulin Y, Amitai M, Bardan E (2008) A comparison of dynamic transperineal ultrasound (DTP-US. with dynamic evacuation proctography (DEP) in the diagnosis of cul de sac hernia (enterocele) in patients with evacuatory dysfunction. Int J Colorectal Dis 23:513–9

    Article  PubMed  CAS  Google Scholar 

  18. Martellucci J, Naldini G (2011) Clinical relevance of transperineal ultrasound compared with evacuation proctography for the evaluation of patients with obstructed defaecation. Colorectal Dis 13:1167–72

    Article  PubMed  CAS  Google Scholar 

  19. Zbar A (2010) Dynamic magnetic resonance imaging and transperineal sonography in the assessment of patients presenting primarily with evacuatory difficulty: a short position paper. Acta Chir Iugosl 57:97–104

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Giovanni Maconi .

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© 2013 Springer-Verlag Italia

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Maconi, G., Furfaro, F., Bezzio, C. (2013). Ulcerative Colitis. In: Tonolini, M., Maconi, G. (eds) Imaging of Perianal Inflammatory Diseases. Springer, Milano. https://doi.org/10.1007/978-88-470-2847-0_13

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  • DOI: https://doi.org/10.1007/978-88-470-2847-0_13

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-2846-3

  • Online ISBN: 978-88-470-2847-0

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