Intestinal Complications of Ulcerative Colitis
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Questions and Answers

What is the most common complication associated with Ulcerative Colitis (UC)?

  • Toxic megacolon
  • Perforation
  • Fulminant colitis
  • Hemorrhage (correct)
  • Which condition might develop if toxic megacolon is left untreated?

  • Inflammatory bowel disease
  • Constipation
  • Intestinal obstruction
  • Perforation of the bowel (correct)
  • What factors increase the risk of colorectal cancer in patients with Ulcerative Colitis?

  • Duration and extent of inflammation (correct)
  • Exercise habits
  • Frequency of bowel movements
  • Dietary fiber intake
  • What is a significant consequence of bowel perforation due to chronic inflammation in UC?

    <p>Severe abdominal distention</p> Signup and view all the answers

    Which of the following can be a cause of toxic megacolon?

    <p>Hypokalemia</p> Signup and view all the answers

    Study Notes

    Intestinal Complications of UC

    • Hemorrhage is a common complication, often resulting in anemia.
    • Perforation occurs when the intestinal wall is weakened due to chronic inflammation and ulceration, leading to an opening.
    • Intestinal contents can leak into the abdomen through the perforation, causing peritonitis.
    • Fulminant colitis, which can progress to toxic megacolon, is a serious complication.
    • Toxic megacolon arises when the entire thickness of the intestinal wall is damaged, resulting in intestinal dilation, paralysis, and abdominal distention.
    • Toxic megacolon is characterized by transverse colon dilation exceeding 6 cm, leading to excessive intestinal gas accumulation and severe abdominal distention.
    • Untreated toxic megacolon can result in bowel perforation.
    • Contributing factors to toxic megacolon include hypokalemia and the use of antidiarrheals, opiates, antispasmodics, and certain antidepressants.

    Colorectal Cancer Risk in UC

    • Patients with UC face an increased risk of colorectal cancer proportionate to disease duration, extent of inflammation, and colon involvement.
    • Annual colonoscopies are recommended for those at the highest risk.
    • For those at a lower risk, colonoscopies are recommended every 1 to 3 years.

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    Description

    This quiz focuses on the intestinal complications associated with ulcerative colitis, including hemorrhage, perforation, and toxic megacolon. Learn about the risks, symptoms, and potential consequences of these serious conditions to enhance your understanding of ulcerative colitis management.

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