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Surgical Management of Ulcerative Colitis - Department of Surgery ...

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www.downstatesurgery.org<br />

Pathology<br />

• Colonic mucosa & submucosa infiltrated w/<br />

inflammatory cells<br />

• Mucosal edema is the earliest manifestation<br />

• Ulcers are linear & knifelike<br />

• Atrophic mucosa & crypt abscesses common<br />

• mucosa is friable & may have inflammatory<br />

pseudopolyps<br />

• TI may demonstrate inflammatory changes<br />

(backwash ileitis)<br />

Schwartz 9 th edition

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