Diversion colitis

Diversion colitis

Diversion colitis is an inflammation of the colon which can occur as a complication of ileostomy or colostomy, often occurring within the year following the surgery. It can also occur in a neovagina created by colovaginoplasty, sometimes several years after the original procedure. Despite the presence of a variable degree of inflammation the most suggestive histological feature remains the prominent lymphoid aggregates. The diagnosis cannot be safely reached without knowing the clinical story.[1] In many milder cases after ileostomy or colostomy, diversion colitis is left untreated and disappears naturally. If treatment is required, possible treatments include short-chain fatty acid irrigation, steroid enemas and mesalazine.[2]

References

  1. ^ {Haboubi NY, Schofield. Reporting colonic biopsies in inflammatory conditions: a new approach. Colorectal Disease 1999, 2:66-72
  2. ^ Geraghty JM, Talbot IC (September 1991). "Diversion colitis: histological features in the colon and rectum after defunctioning colostomy". Gut 32 (9): 1020–3. doi:10.1136/gut.32.9.1020. PMC 1379042. PMID 1916483. http://gut.bmj.com/cgi/pmidlookup?view=long&pmid=1916483. 

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