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Related Concept Videos

Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Endoscopic Procedures II: Colonoscopy01:25

Endoscopic Procedures II: Colonoscopy

The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
Diverticular Disease of the Colon01:27

Diverticular Disease of the Colon

Diverticular disease involves the formation of diverticula—small sac-like outpouchings of the colonic wall—and their complications. It most commonly affects the sigmoid colon due to higher intraluminal pressure and structural vulnerability. It results from structural weakness and increased pressure in the colon, producing pseudodiverticula that may remain silent or progress to inflammation and serious complications.Structure of DiverticulaIn diverticulosis, these outpouchings are...
Inflammatory Bowel Disease I: Ulcerative Colitis01:27

Inflammatory Bowel Disease I: Ulcerative Colitis

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Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
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The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Drugs for Treatment of Diarrhea-Predominant IBS01:17

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Diarrhea-predominant irritable bowel syndrome (IBS-D) is a subtype of IBS characterized primarily by frequent, loose, or watery stools, abdominal pain, and abdominal discomfort. Therapeutic approaches to managing IBS-D include dietary changes, stress management techniques, and pharmaceutical interventions.
Two specific drugs used in the treatment are alosetron (Lotronex) and eluxadoline (Viberzi). Alosetron, a 5-HT3 antagonist, works by slowing the movement of stools in the gut, reducing bowel...

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Related Experiment Video

Updated: Jun 17, 2026

Fecal Microbiota Transplantation via Colonoscopy for Recurrent C. difficile Infection
07:06

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Published on: December 8, 2014

Clostridium difficile enteritis after colectomy.

M Wayne Causey1, Michael P Spencer, Scott R Steele

  • 1Department of Surgery, Madigan Army Medical Center, Tacoma, Washington 98431, USA. mwcausey@msn.com

The American Surgeon
|December 17, 2009
PubMed
Summary
This summary is machine-generated.

Clostridium difficile enteritis, a rare small bowel infection, can occur after colectomy. Early medical management is effective, though this condition warrants attention in postoperative patients presenting with specific symptoms.

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Published on: December 10, 2016

Area of Science:

  • Gastroenterology
  • Infectious Diseases
  • Surgical Outcomes

Background:

  • Clostridium difficile infection (CDI) commonly affects the colon, often post-antibiotic treatment.
  • CDI of the small bowel (enteritis) is exceptionally rare, with limited documented cases.
  • Colectomy increases the risk of intra-abdominal infections, including rare forms of CDI.

Observation:

  • Three cases of isolated Clostridium difficile enteritis were observed in patients following colectomy.
  • These patients presented with characteristic symptoms including low-grade fevers, abdominal/pelvic pain, and increased ileostomy output.
  • Unlike previous reports suggesting high morbidity, these cases were diagnosed and managed successfully with non-surgical interventions.

Findings:

  • Isolated Clostridium difficile enteritis is an under-recognized complication in the postoperative colectomy setting.
  • Prompt identification and medical management can lead to favorable outcomes, challenging prior assumptions of high morbidity.
  • Key presenting symptoms in postoperative colectomy patients include fever, pain, and altered ileostomy function.

Implications:

  • Clinicians should consider Clostridium difficile enteritis in postoperative colectomy patients with suggestive symptoms.
  • Early diagnosis and medical treatment can prevent severe complications and reduce the need for surgical re-intervention.
  • Further research is needed to understand the specific risk factors and optimal management strategies for this rare condition.