Regarding the severity, maybe you can shed some light on what the report says. He stated severe, but here's what's on the report:
Mayo 3 ulcerative colitis of the transverse colon with heaped up folds and filform pseudopolps and ulcerations that were almost mass like in appearance and small petechial. Lesions scattered throughout the transverse colon.
Mayo 3 ulcerative colitis on the descending colon, 30 cm from the anus was a 15 cm stretch of erythema, edema, loss of vascular markings, ulcerations and deformity. There was viability to contact.
The distal sigmoid and rectum were relatively spared with sparse erythema.
Skip lesions may reflect partially treated UC with steroids vs Crohn's disease
Do no think that this is fulminant coliits, there is Mayo 3 involvement with deformity of the descending colon
Increased risk of stenosis
Pseudopolyps, increased risk of malignancy
High risk for adverse complication from the disease. I would recommend aggressive medical management.
Post Edited (Mrs. Brady) : 2/22/2016 2:34:00 PM (GMT-7)