Guidelines for the management of ulcerative colitis. Recommendations of the Polish Society of Gastroenterology and the Polish National Consultant in Gastroenterology

Piotr Eder; Michał Łodyga; Magdalena Gawron-Kiszka; Agnieszka Dobrowolska; Maciej Gonciarz; Marek Hartleb; Maria Kłopocka; Ewa Małecka-Wojciesko; Piotr Radwan; Jarosław Reguła; Edyta Zagórowicz; Tomasz Banasiewicz; Marek Durlik; Grażyna Rydzewska

doi:10.5114/pg.2023.125882

Guidelines for the management of ulcerative colitis. Recommendations of the Polish Society of Gastroenterology and the Polish National Consultant in Gastroenterology

Prz Gastroenterol. 2023;18(1):1-42. doi: 10.5114/pg.2023.125882. Epub 2023 Mar 15.

Authors

Piotr Eder¹, Michał Łodyga², Magdalena Gawron-Kiszka³, Agnieszka Dobrowolska¹, Maciej Gonciarz⁴, Marek Hartleb³, Maria Kłopocka⁵, Ewa Małecka-Wojciesko⁶, Piotr Radwan⁷, Jarosław Reguła^{8

9}, Edyta Zagórowicz^{8

9}, Tomasz Banasiewicz¹⁰, Marek Durlik¹¹, Grażyna Rydzewska^{12

13}

Affiliations

¹ Department of Gastroenterology, Dietetics and Internal Medicine, Poznan University of Medical Sciences, Poznan University Clinical Hospital, Poznan, Poland.
² Department of Internal Medicine, Faculty of Health Science, Medical University of Warsaw, Warsaw, Poland.
³ Department of Gastroenterology and Hepatology, Medical University of Silesia, Katowice, Poland.
⁴ Department of Gastroenterology and Internal Medicine, Military Institute of Medicine, Warsaw, Poland.
⁵ Department of Gastroenterology and Nutrition Disorders, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Poland.
⁶ Department of Digestive Tract Diseases, Medical University of Lodz, Lodz, Poland.
⁷ Chair and Department of Gastroenterology with Endoscopy Unit, Medical University of Lublin, Lublin, Poland.
⁸ Department of Oncological Gastroenterology, Maria Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland.
⁹ Department of Gastroenterology, Hepatology and Clinical Oncology, Centre of Postgraduate Medical Education, Warsaw, Poland.
¹⁰ Department of General, Endocrinological and Gastroenterological Oncology Surgery, Poznan University of Medical Sciences, Poznan University Clinical Hospital, Poznan, Poland.
¹¹ Department of Gastroenterological Surgery and Transplantology, National Medical Institute of Ministry of Inferior and Administration, Warsaw, Poland.
¹² Department of Gastroenterology with the Inflammatory Bowel Disease Subdivision, National Medical Institute of Ministry of Inferior and Administration, Warsaw, Poland.
¹³ Collegium Medicum, Jan Kochanowski University, Kielce, Poland.

Abstract

This paper is an update of the diagnostic and therapeutic recommendations of the National Consultant for Gastroenterology and the Polish Society of Gastroenterology from 2013. It contains 49 recommendations for the diagnosis and treatment, both pharmacological and surgical, of ulcerative colitis in adults. The guidelines were developed by a group of experts appointed by the Polish Society of Gastroenterology and the National Consultant in the field of Gastroenterology. The methodology related to the GRADE methodology was used to assess the quality of available evidence and the strength of therapeutic recommendations. The degree of expert support for the proposed statements was assessed on a 6-point Likert scale. Voting results, together with comments, are included with each statement.

Keywords: colonoscopy; diagnostics; guidelines; treatment; ulcerative colitis.