Long Term Therapeutic Outcome of Ulcerative Colitis Tsuneo Fukushima 1 , Akira Sugita 1 , Shuji Tsuchiya 1 1The Second Department of Surgery, School of Medicine, Yokohama City University Keyword: 潰瘍性大腸炎 , 長期予後 pp.505-510
Published Date 1991/5/25
DOI https://doi.org/10.11477/mf.1403102531
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 According to the report from the research committee of Ministry of Welfare, long-term therapeutic outcomes are as follows:41% under the medical treatment, 54% in remission and not treated, 0.6% operated, and 0.7% died. Overall long term therapeutic outcome is fair. The crucial point in the medical treatment is how to treat “intractable cases” defined by the research committee. If they do not enter the remission in a short period of time, surgical treatment should be considered taking into account the amount of steroid hormone used.Restorative proctocolectomy is becoming the main stream of the surgical treatment. To improve postoperative quality of life, postoperative anal function should be maintained and complications should be minimized.

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