Search In this Thesis
   Search In this Thesis  
العنوان
Clinical, Laboratory, Endoscopic and Histological Correlation to Assess Actual Remission in Patients with Ulcerative Colitis/
المؤلف
Elmokemy, Mohammed Sobhy Ibrahim.
هيئة الاعداد
باحث / Mohammed Sobhy Ibrahim Elmokemy
مشرف / Sherif Monier Mohamed Farag
مشرف / Nermine Mohamed Abd Raboh Kortam
مشرف / Heba Ahmed Faheem
تاريخ النشر
2021.
عدد الصفحات
116 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
الطب الباطني
تاريخ الإجازة
1/1/2021
مكان الإجازة
جامعة عين شمس - كلية الطب - الطب الباطني
الفهرس
Only 14 pages are availabe for public view

from 115

from 115

Abstract

Background: Ulcerative colitis (UC) is an idiopathic inflammatory disease of the colon which results in diffuse friability and superficial erosions on the colonic wall associated with bleeding. It is the most common form of inflammatory bowel disease (IBD) worldwide.
Objective: Evaluate the correlation between clinical remission, laboratory and inflammatory markers, endoscopic and histological remission in patients with ulcerative colitis. Assess to what extent clinical remission affects “treat to target” policy.
Patients and Methods: The present study was conducted at Internal medicine and Gastroenterology department, Ain Shams University Hospitals on 30 patients who was diagnosed with ulcerative colitis and were on clinical remission for 6 months. Patients were evaluated for laboratory, endoscopic and histological remission.
Results: There was significant correlation between mayo score and TLC after remission where P-value =0.042*, but no correlation was found with ESR, PLT or HB%. There was no correlation between Mayo score and histopatholgy after remission where P-value =0.729*. Fecal calprotectin was significantly correlated with Mayo score after remission with P-value =0.007* and also with histopathogy after remission with P-value =0.022*.
Conclusion: There was significant improvement in colonoscopic picture of the study group as regard Mayo score after remission. There was significant improvement in laboratory data of the study group as regard Mayo score after remission. There was no correlation between endoscopic and histologic activity after remission. Fecal calprotectin was significantly correlated with both endoscopic and histologic activity.
Keywords: Crohn’s disease, ulcerative colitis, inflammatory bowel disease