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Article Abstract

Introduction: A significant proportion of patients with acute severe ulcerative colitis (ASUC) require colectomy.

Methods: Patients with ASUC treated with upadacitinib and intravenous corticosteroids at 5 hospitals are presented. The primary outcome was 90-day colectomy rate. Secondary outcomes included frequency of steroid-free clinical remission, adverse events, and all-cause readmissions.

Results: Of the 25 patients with ASUC treated with upadacitinib, 6 (24%) patients underwent colectomy, 15 (83%) of the 18 patients with available data and who did not undergo colectomy experienced steroid-free clinical remission (1 patient did not have complete data), 1 (4%) patient experienced a venous thromboembolic event, while 5 (20%) patients were readmitted.

Discussion: Upadacitinib along with intravenous corticosteroids may be an effective treatment for ASUC.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11427599PMC
http://dx.doi.org/10.14309/ajg.0000000000002674DOI Listing

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