Ulcerative colitis - remission 1
Ulcerative colitis was diagnosed 20 years ago in this now 46-year-old white male patient, who initially experienced a relatively acute disease course. The patient was subsequently adequately treated. Medication was discontinued 10 years ago. The patient has not experienced recurrence of his disease.
The video shows findings from the transverse and descending colon of a patient whose ulcerative colitis has been in remission for years. In all areas, there are bright bands of scar tissue. At some places, there are discrete mucosal bridges and individual small pseudopolyps. Haustrations are preserved and vascular structure is easily recognised.
The endoscopic picture in patients with ulcerative colitis in remission may reveal discrete scar tissue, pseudopolyps, mucosal bridges and a return to visible vasculature. This endoscopy was done for follow-up of a patient with ulcerative colitis that was first diagnosed 20 years ago. Even if the disease has been in remission for many years, stepped biopsies should still be obtained. Special attention must be paid to areas of flat mucosa with changes in color or surface structure.