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Over the last decade, the treatment of acute severe ulcerative colitis has progressed from being solely limited to intravenous steroids or colectomy to include colon rescue medicines such as cyclosporin and infliximab. It is still a medical emergency that necessitates hospitalisation and treatment from a multidisciplinary team that includes a gastroenterologist and a colorectal surgeon. The emphasis on time-bound decision making has been a paradigm shift in management, with the goal of lowering the mortality rate to less than 1%.
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