2. Ulverative Colitis

3. Epidemiology 10-12 per 100000 15-25, 55-65 USA, UK, Canada, Scandinavia 1% of Swedish population

4. Cause Immune and Autoimmune Genetic Smoking, Appendectomy Lactose, NSAIDS

5. Signs and symptoms Abdominal Pain Perianal disease Mucus and/or blood with each bowelmovement Weightloss

6. Relapses and remissions

7. remission A normal life.

8. relapse Mild. <4 Moderate. 4 Servere. >5

9. algorythm for Uc <8, 16%, 30 days >8, 72%, 30 days

10. Treatment Drugs Alternative medicine Surgery

11. Surgical management Proctocolectomy Colectomy

12. Proctocolectomy Traditional Ileostomy(Brooke) Continent Ileostomy (Kock)

13. Colectomy Ileal pouch-anal anastomosis (IPAA) Ileorectal anatsomosis (IRA)

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