Clinical recommendationEvidence ratingReferences
Patients with moderately active ulcerative colitis are more likely to achieve overall improvement with higher dosages (4.8 g per day) of 5-ASA.B22
Patients with ulcerative colitis proctitis should be treated with 5-ASA suppositories rather than oral 5-ASA.B23
Patients who take chronic steroids for their ulcerative colitis should be screened for osteoporosis, and they usually receive prophylactic therapy with calcium, vitamin D, and bisphosphonates.C28
Patients with ulcerative colitis can receive nonpathogenicEscherichia coli instead of 5-ASA to prevent disease relapse.B31
Patients with ulcerative colitis should receive an initial screening colonoscopy eight years after a diagnosis of pancolitis and 12 to 15 years after a diagnosis of left-sided disease, and then subsequently every one to three years.B1,34