Total ulcerative colitis

The third part of patients with diagnosed ulcerative colitis has its total form. This is the most severe form of this inflammatory disease developing in the rectum, which for the most part affects patients between the ages of 20 and 40 years. It is this form that most often occurs when the disease worsens.

In order to correctly diagnose it, an additional radiographic examination is required. At total, that is full, lesion of the intestinal mucosa, in the initial stage of ulcerative colitis, there are such radiologic signs that correspond to the usual form of this disease:

  • The entire internal surface of the intestine has a rough or irritated relief;
  • Significant increase in gaustrates;
  • Hypermobility.

In cases where total ulcerative colitis is quite vivid, the colon throughout its entire length begins to taper uniformly, and then shorten. Because of these changes, it looks like a fairly narrow tube. The contours of it initially become jagged, and eventually smooth out and acquire a clear outline.

Sufficiently characteristic of total ulcerative colitis is the movement of the spleen and liver curvature downwards. When diagnosing the disease with the help of a barium suspension, after deflocating the patient, the bend points look like a broken twig. This symptom is very typical for this intestinal pathology and indicates a severe rigidity manifested in the large intestine.

On the atrophy that occurs in the mucous membrane with total ulcerative colitis, longitudinal folds are said to be wide. They are usually present in an amount of 2-3 pieces. In appearance they are cellular and rather coarse.

Prognosis for total ulcerative colitis

Progressive ulcerative colitis with total lesion of the intestinal mucosa rarely gives favorable predictions. Long periods of remission with them is difficult to achieve. The most frequent complications in this type of disease are:

  • Prosthesis of the walls of the large intestine;
  • Peritonitis;
  • Severe bleeding;
  • Thromboembolism;
  • Secondary infection;
  • Endogenous dystrophy.

With such a lesion of the intestinal mucosa, the number of deaths increases. To avoid the occurrence of negative consequences of this disease, it is necessary, when the earliest signs appear, to consult a specialist without delay.

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