Relapsing Acute Severe Ulcerative Colitis - Management Algorithm Loss of Response: • (Re)consult Colorectal Surgery • Assess Adherence • Assess Disease Activity: Flex Sig, FCP, CRP • Rule OutC. Diff. & CMV COVID) • TDM: IFX/CNl/VDZ Trough • If c/f Complication: Cross-Sectional Imaging • Urgent surgery: Fulminant UC, Toxic Megacolon, Systemic Toxicity, Patient Preference Key Points: • Consult Colorectal Surgery ASAP with Regular Follow up • Surgery ≠ Treatment Failure • If Hesitant for Surgery → Multidisciplinary Meeting with Patient and Family • RD Referral to Optimize Nutrition • CNI + Steroid +IS → PJP Prophylaxis Algorithm by Dr. Waseem Ahmed @Waseem_AhmedMD #Relapsing #Ulcerative #Colitis #UC #Management #Algorithm #IBD #Treatment
