{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T02:44:32Z","timestamp":1785725072205,"version":"3.56.0"},"reference-count":30,"publisher":"Korean Association for the Study of Intestinal Diseases","issue":"3","license":[{"start":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T00:00:00Z","timestamp":1763078400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["irjournal.org"],"crossmark-restriction":true},"short-container-title":["Intest Res"],"published-print":{"date-parts":[[2026,7,30]]},"abstract":"<jats:p>Background\/Aims: The real-world management of acute severe ulcerative colitis (ASUC) varies considerably across regions and healthcare settings. This study aimed to evaluate current management practices for ASUC among gastroenterologists in India.Methods: A structured, web-based survey covering 5 thematic domains (provider and institutional characteristics, clinical workload and initial management, diagnostic practices, infectious work-up, and strategies for rescue therapy) was disseminated via email. Responses were analyzed using descriptive statistics.Results: A total of 228 responses were received from across India\u2019s 5 geographic zones. The majority of respondents were affiliated with either corporate hospitals (n = 76, 33.3%) or teaching hospitals (n = 68, 29.8%). The majority (n = 135, 59.2%) reported managing up to 10 ASUC cases annually. The Truelove and Witts criteria were the most commonly used for diagnosis (n = 169, 74.1%). Nutritional assessment was performed by 89 respondents (39.0%). Biopsies for cytomegalovirus during index sigmoidoscopy were obtained by 75 (32.9%). Intravenous hydrocortisone was the preferred steroid (n = 188, 82.5%). Low molecular weight heparin for thromboprophylaxis was never prescribed by 62 respondents (27.2%). Oxford criteria were most frequently used to assess steroid response (n = 150, 65.8%). More than half of the respondents (n = 125, 54.8%) reported that fewer than 50% of patients accepted rescue therapy. Rescue therapy was initiated on or after day 5 by 153 respondents (67.1%). Early involvement of colorectal surgeons was reported by 66 (28.9%). A majority (n = 200, 87.7%) were associated with low-volume centers for ileal pouch-anal anastomosis, performing &lt; 5 procedures per year.Conclusions: This nationwide survey reveals considerable heterogeneity in ASUC management in India. Standardizing care through patient and healthcare provider education and context-specific guidelines is imperative.<\/jats:p>","DOI":"10.5217\/ir.2025.00060","type":"journal-article","created":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T05:44:39Z","timestamp":1763099079000},"page":"520-531","update-policy":"https:\/\/doi.org\/10.5217\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["A survey on the practices and patterns in the management of acute severe ulcerative colitis in India"],"prefix":"10.5217","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5820-7758","authenticated-orcid":true,"given":"Arshia","family":"Bhardwaj","sequence":"first","affiliation":[{"name":"Department of Gastroenterology, Dayanand Medical College and Hospital, Ludhiana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7163-0454","authenticated-orcid":true,"given":"Arshdeep","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Dayanand Medical College and Hospital, Ludhiana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0524-2696","authenticated-orcid":true,"given":"Riya","family":"Sharma","sequence":"additional","affiliation":[{"name":"Research and Development Center, Dayanand Medical College and Hospital, Ludhiana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0192-3969","authenticated-orcid":true,"given":"Vandana","family":"Midha","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Dayanand Medical College and Hospital, Ludhiana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6961-6389","authenticated-orcid":true,"given":"Ajit","family":"Sood","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Dayanand Medical College and Hospital, Ludhiana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3168","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1111\/apt.15592","type":"journal-article"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/s2468-1253(23)00313-8","type":"journal-article"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1038\/nrgastro.2016.116","type":"journal-article"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1136\/gutjnl-2024-332489","type":"journal-article"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.5217\/ir.2019.09169","type":"journal-article"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1159\/000465522","type":"journal-article"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.14309\/ajg.0000000000002635","type":"journal-article"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1111\/apt.16249","type":"journal-article"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1093\/ecco-jcc\/jjae094","type":"journal-article"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.dld.2021.03.031","type":"journal-article"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1038\/s41430-021-00953-y","type":"journal-article"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgast-2024-001587","type":"journal-article"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1093\/ecco-jcc\/jjy064","type":"journal-article"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.4103\/ijccm.ijccm_3_18","type":"journal-article"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2022.12.004","type":"journal-article"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1038\/s41575-021-00492-8","type":"journal-article"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1016\/s2468-1253(22)00001-2","type":"journal-article"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.14309\/crj.0000000000001066","type":"journal-article"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1111\/jgh.13669","type":"journal-article"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.5217\/ir.2018.16.1.4","type":"journal-article"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1080\/17474124.2022.2032662","type":"journal-article"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1093\/ecco-jcc\/jjaa036","type":"journal-article"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1111\/apt.13670","type":"journal-article"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1136\/gut.38.6.905","type":"journal-article"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2024.10.029","type":"journal-article"},{"key":"ref26","first-page":"1683","type":"journal-article","volume-title":"Systematic review: sequential rescue therapy in severe ulcerative colitis: do the benefits outweigh the risks?","author":"Narula","year":"2015"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.1177\/17562848251323511","type":"journal-article"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.1159\/000542711","type":"journal-article"},{"key":"ref29","doi-asserted-by":"publisher","DOI":"10.1093\/ecco-jcc\/jjab109","type":"journal-article"},{"key":"ref30","doi-asserted-by":"publisher","DOI":"10.1055\/s-0042-1746190","type":"journal-article"}],"container-title":["Intestinal Research"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/irjournal.org\/upload\/pdf\/ir-2025-00060.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/irjournal.org\/journal\/view.php?doi=10.5217\/ir.2025.00060","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/irjournal.org\/upload\/pdf\/ir-2025-00060.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T01:52:56Z","timestamp":1785721976000},"score":1,"resource":{"primary":{"URL":"http:\/\/irjournal.org\/journal\/view.php?doi=10.5217\/ir.2025.00060"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,30]]},"references-count":30,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,7]]}},"URL":"https:\/\/doi.org\/10.5217\/ir.2025.00060","relation":{},"ISSN":["1598-9100","2288-1956"],"issn-type":[{"value":"1598-9100","type":"print"},{"value":"2288-1956","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,30]]},"assertion":[{"value":"2025-04-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-18","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-14","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-30","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}