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Article: The Asia-Pacific consensus on ulcerative colitis

TitleThe Asia-Pacific consensus on ulcerative colitis
Authors
KeywordsChemicals And Cas Registry Numbers
Issue Date2010
PublisherWiley-Blackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/JGH
Citation
Journal Of Gastroenterology And Hepatology, 2010, v. 25 n. 3, p. 453-468 How to Cite?
AbstractInflammatory bowel disease (IBD) is increasing in many parts of the Asia-Pacific region. There is a need to improve the awareness of IBD and develop diagnostic and management recommendations relevant to the region. This evidence-based consensus focuses on the definition, epidemiology and management of ulcerative colitis (UC) in Asia. A multi-disciplinary group developed the consensus statements, reviewed the relevant literature, and voted on them anonymously using the Delphi method. The finalized statements were reviewed to determine the level of consensus, evidence quality and strength of recommendation. Infectious colitis must be excluded prior to diagnosing UC. Typical histology and macroscopic extent of the disease seen in the West is found in the Asia-Pacific region. Ulcerative colitis is increasing in many parts of Asia with gender distribution and age of diagnosis similar to the West. Extra-intestinal manifestations including primary sclerosing cholangitis are rarer than in the West. Clinical stratification of disease severity guides management. In Japan, leukocytapheresis is a treatment option. Access to biologic agents remains limited due to high cost and concern over opportunistic infections. The high endemic rates of hepatitis B virus infection require stringent screening before initiating immune-suppressive agents. Vaccination and prophylactic therapies should be initiated on a case-by-case basis and in accordance with local practice. Colorectal cancer complicates chronic colitis. A recent increase in UC is reported in the Asia-Pacific region. These consensus statements aim to improve the recognition of UC and assist clinicians in its management with particular relevance to the region. © 2010 Journal of Gastroenterology and Hepatology Foundation and Blackwell Publishing Asia Pty Ltd.
Persistent Identifierhttp://hdl.handle.net/10722/132848
ISSN
2014 Impact Factor: 3.504
2014 SCImago Journal Rankings: 1.128
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorOoi, CJen_HK
dc.contributor.authorFock, KMen_HK
dc.contributor.authorMakharia, GKen_HK
dc.contributor.authorGoh, KLen_HK
dc.contributor.authorLing, KLen_HK
dc.contributor.authorHilmi, Ien_HK
dc.contributor.authorLim, WCen_HK
dc.contributor.authorKelvin, Ten_HK
dc.contributor.authorGibson, PRen_HK
dc.contributor.authorGearry, RBen_HK
dc.contributor.authorOuyang, Qen_HK
dc.contributor.authorSollano, Jen_HK
dc.contributor.authorManatsathit, Sen_HK
dc.contributor.authorRerknimitr, Ren_HK
dc.contributor.authorWei, SCen_HK
dc.contributor.authorLeung, WKen_HK
dc.contributor.authorDe Silva, HJen_HK
dc.contributor.authorLeong, RWLen_HK
dc.date.accessioned2011-04-04T07:57:24Z-
dc.date.available2011-04-04T07:57:24Z-
dc.date.issued2010en_HK
dc.identifier.citationJournal Of Gastroenterology And Hepatology, 2010, v. 25 n. 3, p. 453-468en_HK
dc.identifier.issn0815-9319en_HK
dc.identifier.urihttp://hdl.handle.net/10722/132848-
dc.description.abstractInflammatory bowel disease (IBD) is increasing in many parts of the Asia-Pacific region. There is a need to improve the awareness of IBD and develop diagnostic and management recommendations relevant to the region. This evidence-based consensus focuses on the definition, epidemiology and management of ulcerative colitis (UC) in Asia. A multi-disciplinary group developed the consensus statements, reviewed the relevant literature, and voted on them anonymously using the Delphi method. The finalized statements were reviewed to determine the level of consensus, evidence quality and strength of recommendation. Infectious colitis must be excluded prior to diagnosing UC. Typical histology and macroscopic extent of the disease seen in the West is found in the Asia-Pacific region. Ulcerative colitis is increasing in many parts of Asia with gender distribution and age of diagnosis similar to the West. Extra-intestinal manifestations including primary sclerosing cholangitis are rarer than in the West. Clinical stratification of disease severity guides management. In Japan, leukocytapheresis is a treatment option. Access to biologic agents remains limited due to high cost and concern over opportunistic infections. The high endemic rates of hepatitis B virus infection require stringent screening before initiating immune-suppressive agents. Vaccination and prophylactic therapies should be initiated on a case-by-case basis and in accordance with local practice. Colorectal cancer complicates chronic colitis. A recent increase in UC is reported in the Asia-Pacific region. These consensus statements aim to improve the recognition of UC and assist clinicians in its management with particular relevance to the region. © 2010 Journal of Gastroenterology and Hepatology Foundation and Blackwell Publishing Asia Pty Ltd.en_HK
dc.languageengen_US
dc.publisherWiley-Blackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/JGHen_HK
dc.relation.ispartofJournal of Gastroenterology and Hepatologyen_HK
dc.subjectChemicals And Cas Registry Numbersen_US
dc.subject.meshColitis, Ulcerative - complications - diagnosis - drug therapy - epidemiology - therapyen_HK
dc.subject.meshColorectal Neoplasms - etiologyen_HK
dc.subject.meshCongresses as Topicen_HK
dc.subject.meshHumansen_HK
dc.subject.meshImmunosuppressive Agents - therapeutic useen_HK
dc.subject.meshLeukapheresis - methodsen_HK
dc.subject.meshPractice Guidelines as Topicen_HK
dc.subject.meshPrevalenceen_HK
dc.subject.meshSeverity of Illness Indexen_HK
dc.subject.meshSingapore - epidemiologyen_HK
dc.titleThe Asia-Pacific consensus on ulcerative colitisen_HK
dc.typeArticleen_HK
dc.identifier.emailLeung, WK:waikleung@hku.hken_HK
dc.identifier.authorityLeung, WK=rp01479en_HK
dc.description.naturelink_to_OA_fulltexten_US
dc.identifier.doi10.1111/j.1440-1746.2010.06241.xen_HK
dc.identifier.pmid20370724-
dc.identifier.scopuseid_2-s2.0-77649226304en_HK
dc.identifier.hkuros203859-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-77649226304&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume25en_HK
dc.identifier.issue3en_HK
dc.identifier.spage453en_HK
dc.identifier.epage468en_HK
dc.identifier.eissn1440-1746-
dc.identifier.isiWOS:000274939900005-
dc.publisher.placeAustraliaen_HK
dc.identifier.scopusauthoridOoi, CJ=7007084911en_HK
dc.identifier.scopusauthoridFock, KM=7006721062en_HK
dc.identifier.scopusauthoridMakharia, GK=6701885809en_HK
dc.identifier.scopusauthoridGoh, KL=7201860992en_HK
dc.identifier.scopusauthoridLing, KL=7102763009en_HK
dc.identifier.scopusauthoridHilmi, I=12780634900en_HK
dc.identifier.scopusauthoridLim, WC=8752049200en_HK
dc.identifier.scopusauthoridKelvin, T=35724170300en_HK
dc.identifier.scopusauthoridGibson, PR=35752882000en_HK
dc.identifier.scopusauthoridGearry, RB=6603607435en_HK
dc.identifier.scopusauthoridOuyang, Q=7101796669en_HK
dc.identifier.scopusauthoridSollano, J=6602099153en_HK
dc.identifier.scopusauthoridManatsathit, S=6602759678en_HK
dc.identifier.scopusauthoridRerknimitr, R=6603607086en_HK
dc.identifier.scopusauthoridWei, SC=7401765271en_HK
dc.identifier.scopusauthoridLeung, WK=7201504523en_HK
dc.identifier.scopusauthoridDe Silva, HJ=7005406595en_HK
dc.identifier.scopusauthoridLeong, RW=24343912800en_HK
dc.identifier.citeulike6841344-

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