Last year was not a banner year for developments in medical therapy for ulc
erative colitis. in contrast to the expansion of therapies for Crohn diseas
e, treatment for ulcerative colitis was evolutionary, at best, leading many
patients to seek alternative medical approaches. Nevertheless, there have
been advances in the application of aminosalicylates and immune modifiers f
or ulcerative colitis. Additional, nonconventional approaches include nicot
ine, probiotics, dietary therapies, and heparins. Several novel approaches
have arisen from animal models, including additional means of inhibiting nu
clear factor-kappa B and targeting of tumor necrosis factor-alpha. Curr Opi
n Gastroenterol 2000, 16:324-328 (C) 2000 Lippincott Williams & Wilkins, In
c.