RT Journal Article
SR Electronic
T1 Change in paradigm: impact of an IBD medical home on the outpatient management of acute severe ulcerative colitis
JF BMJ Case Reports
JO BMJ Case Reports
FD BMJ Publishing Group Ltd
SP e230491
DO 10.1136/bcr-2019-230491
VO 12
IS 10
A1 Vernissia Tam
A1 Marc Schwartz
A1 Jennifer Holder-Murray
A1 Javier Salgado Pogacnik
YR 2019
UL http://casereports.bmj.com/content/12/10/e230491.abstract
AB A 72-year-old man presents with acute severe ulcerative colitis (ASUC), initially partially responsive to intravenous steroids and infliximab over a 3-day hospital stay. Following discharge and over the course of 15 days, his care was coordinated by the inflammatory bowel disease medical home team, who conducted clinical laboratory assessments and two outpatient flexible sigmoidoscopies to evaluate endoluminal disease activity and treatment response prior to proceeding with a laparoscopic total abdominal colectomy and creation of end ileostomy following medical failure. He was admitted to the hospital for a total of only 7 days, which included attempted medical management of ASUC, surgery and postoperative recovery.