CHU de Nancy,
29, avenue du Maréchal de Lattre de Tassigny,
CHU Paris Nord-Val de Seine,
service de gastro-entérologie, MICI et assistance nutritive,
CHU de Saint-Étienne,
service de gastro-entérologie et hépatologie,
Clinique des Cèdres,
CHI de Créteil,
CHU de Nice,
Hôpital de l’Archet,
service de gastro-entérologie, hépatologie et nutrition,
Ulcerative colitis (UC) is a chronic inflammatory bowel disease of multifactorial etiology which mainly affects the colon. Its extension and severity may vary over time and the definition of clinical scenarios must take into account these criteria. The European Crohn's and Colitis Organisation (ECCO) in 2012 issued recommendations on definitions, diagnosis and current management of UC. To assist clinicians in making treatment decisions, a group of 37 French gastroenterologists with experience in the management of UC have met to prepare, on the basis of these recommendations, convenient and usefull algorithms. The algorithms were developed using the method of Nominal Group method suitable for the preparation of professional opinions.
Five clinical conditions were identified: treatment of moderate and severe UC forms, treatment of pouchitis, treatment of acute severe ulcerative colitis and treatment of refractory proctitis. Two working groups were formed and proposed algorithms which have been approved by the entire of the Nominal Group.
They represent the consensus on the procedures for taking therapeutic management in different clinical situations considered in a pragmatic approach that will be accessible via an online application www.algorithmici.com.