Management of ulcerative colitis Medical : Steroids Sulphasalazine Steroid/5-ASA enema Surgical : 20-30% require surgery Colectomy is curative Main indication is severe attack unresponsive to medical therapy Complications Fistulas, fissures,abscess (esp Crohn’s) Toxic dilatation (megacolon) Perforation Massive haemorrhage (rare) Carcinoma of colon (UC after 10 years) Management of Crohn’s disease [...]