Letter

Avoid delaying surgery in patients with severe ulcerative colitis

BMJ 2006; 333 doi: 10.1136/bmj.333.7566.501-b (Published 31 August 2006)
Cite this as: BMJ 2006;333:501.3

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  1. Neil J Smart, specialist registrar general surgery (drneilsmart@hotmail.com)
  1. North Bristol NHS Trust

    EDITOR—Collins and Rhodes, in their review of medical treatments for ulcerative colitis, cover surgical management options only very briefly, despite their acknowledgment that the overall colectomy rate is still about 25%.1 Their comment that colectomy may be needed if medical treatment does not produce a substantial response within seven to 10 days cannot go unchallenged.

    Fifteen per cent of patients with ulcerative …

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