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Proctitis following fecal diversion.

R T Bosshardt, M E Abel

    Diseases of the Colon and Rectum
    |September 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    Diversion colitis, an inflammation in the defunctionalized colon, can mimic ulcerative colitis. This condition is underrecognized and requires further investigation for proper diagnosis and treatment.

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    Area of Science:

    • Gastroenterology
    • Colorectal Surgery

    Background:

    • Fecal diversion surgery can lead to nonspecific colitis in the defunctionalized colon.
    • This entity, termed diversion colitis, shares histological similarities with ulcerative colitis.
    • The condition's implications for diagnosis and treatment are not well understood.

    Observation:

    • A case of symptomatic diversion colitis was identified.
    • An additional patient with asymptomatic colitis in the defunctionalized rectum was found through a hospital record review.
    • Literature search revealed only two prior articles on diversion colitis.

    Findings:

    • Diversion colitis is an underrecognized condition in patients with fecal diversion.
    • Histological features of diversion colitis resemble those of ulcerative colitis.

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  • The condition can be symptomatic or asymptomatic.

    • Implications:

    • Increased awareness of diversion colitis is crucial for accurate diagnosis in patients with fecal diversion.
    • Further research is needed to elucidate the pathophysiology and optimal management of diversion colitis.
    • Recognizing diversion colitis can prevent misdiagnosis and inappropriate treatment for inflammatory bowel disease.