[Ulcerative and granulomatous colitis].

Abstract

For the diagnostics in ulcerous colitis are in general sufficient the symptomatology and the findings in rectosigmoidoscopy, which are completed by the bioptical and histological result. In the fulminant form of the disease the highly dosed application of prednisolone with ease the highly dosed application of prednisolone with parenteral hypercaloric nutrition and the substitution of mineral, protein and blood losses are therapeutically in the first place. In the easy form and in the form of medium severity we perform a therapy with 4 g sulfasalazine/a day, which is continued as a long-term therapy in a dosage of 2 g/a day. The diagnosis of Crohn's colitis is not infrequently possible by the symptomatology (particularly when perianal complications or generally formations of fistulae exist) and by typical radiological findings, though an endoscopico-bioptic ascertainment is desirable. In Crohn's colitis we prefer sulfasalazine, but in ineffectivity we change over to prednisolone and/or metronidazole.