%0 Journal Article
%T Colitis ulcerativa aguda severa: Presentaci車n de un caso y revisi車n de la literatura Acute severe ulcerative colitis: case report and literature review
%A Fabi芍n Juliao Baˋos
%J Revista Colombiana de Gastroenterologia
%D 2012
%I Asociaci車n Colombiana de Gastroenterolog赤a
%X La colitis ulcerativa aguda severa es una urgencia m谷dica que puede comprometer la vida del paciente; requiere una alta sospecha diagn車stica para establecer un manejo adecuado y oportuno, y prevenir complicaciones. Es necesario determinar factores pron車sticos para identificar pacientes de alto riesgo. Los esteroides intravenosos son tratamiento de primera l赤nea, en caso de no respuesta, el uso de terapia de "rescate" con infliximab o ciclosporina reduce el riesgo de colectom赤a a corto plazo, sin comprometer la seguridad del paciente. Acute severe ulcerative colitis is a potentially life-threatening condition that requires a pro-active approach with either effective medical treatment or timely colectomy. It is very important to identify at an early stage those who are likely to fail intensive treatment. Although intravenous steroids remain the first line, for those who fail, currently available 'rescue' medical therapy with infliximab and cyclosporine may reduce the risk of colectomy in the short term without compromising safety.
%K Colitis ulcerativa aguda severa
%K Acute severe ulcerative colitis
%K intravenous steroids
%K infliximab
%K cyclosporine
%K colectomy
%U http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0120-99572012000400008