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Updated: Jul 5, 2026
08:49
Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
Idiopathic small-intestinal inflammation after colectomy for ulcerative colitis
Ian R Gooding1, Roger Springall, Ian C Talbot
1Centre for Medical and Surgical Gastroenterology and Hepatology, Princess Grace Hospital, London, United Kingdom. ian_gooding@yahoo.co.uk
Summary
Severe diarrhea after ulcerative colitis (UC) surgery is rare but serious. Prompt diagnosis and corticosteroid treatment lead to excellent outcomes, though delayed treatment can be fatal.
Area of Science:
- Gastroenterology
- Surgical complications
- Inflammatory bowel disease
Background:
- Panproctocolectomy with restorative ileo-anal pouch formation is a surgical option for ulcerative colitis (UC).
- Severe ileostomy dysfunction, including high ileostomy volumes or diarrhea, can occur post-surgery.
- The incidence and outcomes of this complication are not well-documented.
Observation:
- A case of life-threatening diarrhea post-UC surgery was observed.
- Literature review identified eight previously described cases.
- Small-bowel disease manifested up to 17 months after colectomy.
Findings:
- Most patients with this complication responded well to corticosteroid therapy.
- Delayed corticosteroid treatment in one case resulted in a fatal outcome.
- Early diagnosis and prompt intervention are crucial for managing this condition.
Implications:
- This rare complication following colectomy for UC can be life-threatening.
- Prompt diagnosis and treatment with corticosteroids offer a favorable prognosis.
- Understanding and timely management are key to preventing mortality and ensuring good long-term outcomes.
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