Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Search research articles

Related Experiment Videos

Diversion Colitis.

John C. Eggenberger¹, Asim Farid

¹Division of Colon and Rectal Surgery, Henry Ford Hospital, 2799 West Grand Boulevard, E-701, Detroit, MI 48202, USA.

Current Treatment Options in Gastroenterology

|July 27, 2001

Summary

Management of diversion colitis depends on patient factors and disease severity. Treatment options range from re-establishing intestinal continuity to endoscopic surveillance or medical therapies, with surgical resection as a last resort for persistent symptoms.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Determining the depositional pattern by resistivity-seismic inversion for the aquifer system of Maira area, Pakistan.

Environmental monitoring and assessment·2011

Same author

Anal Carcinoma.

Current treatment options in gastroenterology·2001

See all related articles

Area of Science:

Gastroenterology
Colorectal Surgery
Inflammatory Bowel Disease

Background:

Diversion colitis is an inflammatory condition affecting the excluded segment of the colon after ostomy creation.
Management strategies are often tailored to individual patient characteristics and disease presentation.

Purpose of the Study:

To outline a comprehensive approach to managing diversion colitis.
To delineate treatment pathways based on patient risk, symptom severity, and permanence of diversion.

Main Methods:

Review of current literature and clinical guidelines for diversion colitis management.
Categorization of treatment options based on patient factors (surgical risk, desire for stoma closure) and disease factors (symptomatic vs. asymptomatic, permanent vs. temporary diversion).

Main Results:

For patients with temporary diversion and acceptable surgical risk, re-establishing intestinal continuity is recommended.
Asymptomatic, high-risk patients require regular endoscopic surveillance.
Symptomatic patients with permanent diversion may benefit from medical therapies (steroid enemas, 5-ASA, short-chain fatty acids) or, if refractory, surgical resection of the excluded bowel.

Conclusions:

Effective management of diversion colitis requires a personalized approach.
Treatment decisions should balance the potential benefits of intervention against surgical risks and the permanence of the diversion.

Related Experiment Videos