Steroid Limbo in Acute Severe Ulcerative Colitis

Abstract

One of the greatest challenges of paediatric gastroenterology practice is the management of the patient with acute severe ulcerative colitis (ASC) including the avoidance of colectomy.Harmonisation of practice has been helped by the joint European Crohn's and Colitis organisation (ECCO) / European Society for Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) guideline.(1) Streamlining and expediting second-line therapy is one of the main messages of the guideline, yet despite this widespread variability in clinical practice still exists.(2) Additionally the guideline also provides advice to the dosing and type