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

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www.downstatesurgery.org<br />

Pathophysiology<br />

• Poorly understood<br />

• Intestinal mucosa continually exposed to<br />

environmental challenge<br />

• chronic dysregulation <strong>of</strong> mucosal immunity<br />

• uncontrolled inflammatory response<br />

• IL-1B, 6, 8, TNF, prostaglandin (E2), leukotriene B4<br />

exacerbate mucosal inflammation<br />

• IL-4, 10 suppress intestinal inflammation<br />

Maingot 11 th ed

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