This protocol applies to Behçet's syndrome in which gastrointestinal involvement has been confirmed by endoscopy or imaging, and where other causes of similar findings have been systematically excluded.
Gastrointestinal involvement in Behçet's syndrome must be confirmed by endoscopy and/or imaging before this protocol applies. NSAID-related ulcers, inflammatory bowel disease, and infections including tuberculosis should be ruled out first.
Acute exacerbations are typically managed with corticosteroid-based therapy alongside disease-modifying agents. Certain urgent presentations require immediate surgical evaluation.
DOI: 10.1136/annrheumdis-2018-213225
Gastrointestinal involvement of BS should be confirmed by endoscopy and/or imaging.
NSAID ulcers, inflammatory bowel disease and infections such as tuberculosis should be ruled out.
Glucocorticoids should be considered during acute exacerbations together with disease-modifying agents such as 5-ASA or azathioprine.
Urgent surgical consultation is necessary in cases of perforation, major bleeding and obstruction.
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