Ulcerative Colitis: A Case Study

Brian Bressler, MD, MS, FRCPC,Clinical Assistant Professor of Medicine, Division of Gastroenterology,
St. Paul's Hospital, University of British Columbia, Vancouver, BC.

A 28-year-old male presented to our office for a consultation about his bloody bowel movements. Colonoscopy revealed moderately active left-sided ulcerative colitis extending from the anal verge up to the mid-descending colon. He was prescribed both oral and rectal 5-ASAs for induction therapy, and is in remission. Appropriate patient education has helped him realize that the best chance of staying in remission is to continue on his medical therapy.
Key words: ulcerative colitis, 5-aminosalicylate, medication adherence, dysplasia surveillance, rectal inflammation.