ASSESSMENT OF SEVERITY OF ULCERATIVE COLITIS ON FIRST COLONOSCOPIC EXAMINATION

Objective: To assess the severity of ulcerative colitis on first colonoscopic examination. Study Design: Prospective cross-sectional (correlational) study design. Place and Duration of Study: Study was conducted in Gastroenterology Outpatient Department of Pak Emirates Military Hospital, Rawal...

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Autores principales:	Rabia Tariq, Anum Abbas, Ehtesham Haider, Usama Bin Zubair, Farrukh Saeed, Zafar Ali Qureshi
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2021
Materias:	activity index colonoscopy disease severity inflammatory bowel disease ulcerative colitis Medicine R Medicine (General) R5-920
Acceso en línea:	https://doi.org/10.51253/pafmj.v71iSuppl-1.2715 https://doaj.org/article/7fbff6cfba54469eb8f5c6a712904fed
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spelling	oai:doaj.org-article:7fbff6cfba54469eb8f5c6a712904fed2021-12-02T19:11:56ZASSESSMENT OF SEVERITY OF ULCERATIVE COLITIS ON FIRST COLONOSCOPIC EXAMINATIONhttps://doi.org/10.51253/pafmj.v71iSuppl-1.27150030-96482411-8842https://doaj.org/article/7fbff6cfba54469eb8f5c6a712904fed2021-01-01T00:00:00Zhttps://pafmj.org/index.php/PAFMJ/article/view/2715https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To assess the severity of ulcerative colitis on first colonoscopic examination. Study Design: Prospective cross-sectional (correlational) study design. Place and Duration of Study: Study was conducted in Gastroenterology Outpatient Department of Pak Emirates Military Hospital, Rawalpindi, from Nov 2017 to Oct 2018. Methodology: An aggregate of 200 patients within the age range of 12-70 years, were included in the study through non-probability consecutive sampling. The data was collected by the self-administered questionnaire including age, gender, stool frequency, P/R bleed, systemic features of ulcerative colitis & colonoscopic findings. Effectiveness of the procedures was noted on a pre-designed performa and the endoscopic assessment was based upon mayo score severity of colitis graded from Normal (0) to Severe (3). Data was analyzed by using SPSS-19. Results: The mean age of the participants was reported 38 ± 2.1 years. Out of 200 participants 104 (52%) were male, diarrhea with PR bleed was positive in 180 (90%) & anemia in 154 (77%). Colonoscopic findings showed that 72 (36%) were with Left sided colitis (Montreal Class E2) & 82 (41%) with proctitis (Montreal class E1). Severe disease (Mayo endoscopic Score 3) was positive in 118 (59%) patients. Conclusion: Assessment of severity of UC is important as it determines the long term management & also valuable for risk stratification to predict the prognosis. Our findings feature the requirement for system level enhancements to encourage the proper delivery of colonoscopy services dependent on individual risk.Rabia TariqAnum AbbasEhtesham HaiderUsama Bin ZubairFarrukh SaeedZafar Ali QureshiArmy Medical College Rawalpindiarticleactivity indexcolonoscopydisease severityinflammatory bowel diseaseulcerative colitisMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 71, Iss SUPPL-1, Pp 175-179 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	activity index colonoscopy disease severity inflammatory bowel disease ulcerative colitis Medicine R Medicine (General) R5-920
spellingShingle	activity index colonoscopy disease severity inflammatory bowel disease ulcerative colitis Medicine R Medicine (General) R5-920 Rabia Tariq Anum Abbas Ehtesham Haider Usama Bin Zubair Farrukh Saeed Zafar Ali Qureshi ASSESSMENT OF SEVERITY OF ULCERATIVE COLITIS ON FIRST COLONOSCOPIC EXAMINATION
description	Objective: To assess the severity of ulcerative colitis on first colonoscopic examination. Study Design: Prospective cross-sectional (correlational) study design. Place and Duration of Study: Study was conducted in Gastroenterology Outpatient Department of Pak Emirates Military Hospital, Rawalpindi, from Nov 2017 to Oct 2018. Methodology: An aggregate of 200 patients within the age range of 12-70 years, were included in the study through non-probability consecutive sampling. The data was collected by the self-administered questionnaire including age, gender, stool frequency, P/R bleed, systemic features of ulcerative colitis & colonoscopic findings. Effectiveness of the procedures was noted on a pre-designed performa and the endoscopic assessment was based upon mayo score severity of colitis graded from Normal (0) to Severe (3). Data was analyzed by using SPSS-19. Results: The mean age of the participants was reported 38 ± 2.1 years. Out of 200 participants 104 (52%) were male, diarrhea with PR bleed was positive in 180 (90%) & anemia in 154 (77%). Colonoscopic findings showed that 72 (36%) were with Left sided colitis (Montreal Class E2) & 82 (41%) with proctitis (Montreal class E1). Severe disease (Mayo endoscopic Score 3) was positive in 118 (59%) patients. Conclusion: Assessment of severity of UC is important as it determines the long term management & also valuable for risk stratification to predict the prognosis. Our findings feature the requirement for system level enhancements to encourage the proper delivery of colonoscopy services dependent on individual risk.
format	article
author	Rabia Tariq Anum Abbas Ehtesham Haider Usama Bin Zubair Farrukh Saeed Zafar Ali Qureshi
author_facet	Rabia Tariq Anum Abbas Ehtesham Haider Usama Bin Zubair Farrukh Saeed Zafar Ali Qureshi
author_sort	Rabia Tariq
title	ASSESSMENT OF SEVERITY OF ULCERATIVE COLITIS ON FIRST COLONOSCOPIC EXAMINATION
title_short	ASSESSMENT OF SEVERITY OF ULCERATIVE COLITIS ON FIRST COLONOSCOPIC EXAMINATION
title_full	ASSESSMENT OF SEVERITY OF ULCERATIVE COLITIS ON FIRST COLONOSCOPIC EXAMINATION
title_fullStr	ASSESSMENT OF SEVERITY OF ULCERATIVE COLITIS ON FIRST COLONOSCOPIC EXAMINATION
title_full_unstemmed	ASSESSMENT OF SEVERITY OF ULCERATIVE COLITIS ON FIRST COLONOSCOPIC EXAMINATION
title_sort	assessment of severity of ulcerative colitis on first colonoscopic examination
publisher	Army Medical College Rawalpindi
publishDate	2021
url	https://doi.org/10.51253/pafmj.v71iSuppl-1.2715 https://doaj.org/article/7fbff6cfba54469eb8f5c6a712904fed
work_keys_str_mv	AT rabiatariq assessmentofseverityofulcerativecolitisonfirstcolonoscopicexamination AT anumabbas assessmentofseverityofulcerativecolitisonfirstcolonoscopicexamination AT ehteshamhaider assessmentofseverityofulcerativecolitisonfirstcolonoscopicexamination AT usamabinzubair assessmentofseverityofulcerativecolitisonfirstcolonoscopicexamination AT farrukhsaeed assessmentofseverityofulcerativecolitisonfirstcolonoscopicexamination AT zafaraliqureshi assessmentofseverityofulcerativecolitisonfirstcolonoscopicexamination
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ASSESSMENT OF SEVERITY OF ULCERATIVE COLITIS ON FIRST COLONOSCOPIC EXAMINATION

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