NDLI: Colitis following fecal diversion: still a challenge

Content Provider	Scientific Electronic Library Online (SciELO)
Author	Castro, Leonaldson dos Santos Schanaider, Alberto Castro, Bettina Wolff
Abstract	After fecal diversion, nonspecific colitis may be seen in the defunctionalized colon. The purpose of this prospective study is to identify specific findings that could help in the differential diagnosis between diversion colitis and other inflammatory bowel diseases in order to avoid inappropriate diagnosis and therapy. It was studied, prospectively, thirteen consecutive patients from two public hospitals of Rio de Janeiro who had undergone temporary colostomy for indications other than inflammatory bowel disease. They were submitted to endoscopy with biopsy of both proximal and distal colorectal segments, and prospectively evaluated before and after restoration of intestinal continuity. Endoscopy with biopsy of both proximal and distal excluded colorectal segments showed a nonspecific mucosal and submucosal inflammation, resembling ulcerative colitis ( p < 0.01). There was endoscopic resolution in all patients once restoration of intestinal continuity was established (p < 0.01) and also histologic improvement after the stoma closure. In conclusion there are no specific findings that make possible an unequivocal distinction between diversion colitis and other nonspecific inflammatory diseases. Diagnosis should be achieved if after stoma closure occur remission of endoscopic large bowel inflammatory signs with improvement in mucosal histologic appearance and prompt relief of clinical complaints.
Related Links	http://www.scielo.br/scielo.php?script=sci_abstract&pid=S0102-86502000000400002&lng=en&nrm=iso http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502000000400002&lng=en&nrm=iso
Starting Page	00
Ending Page	00
Page Count	1
File Format	PDF
ISSN	01028650
DOI	10.1590/S0102-86502000000400002
Journal	Acta Cirurgica Brasileira
Issue Number	4
Volume Number	15
Language	English
Publisher	Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia
Publisher Date	2000-12-01
Access Restriction	Open
Subject Keyword	Colitis Colostomy Inflammatory bowel diseases Diagnosis differential Colite Colostomia Enteropatias inflamatórias Diagnóstico diferencial
Alternative Title	Diagnóstico diferencial entre colite relacionada à derivação fecal e as doenças inflamatórias intestinais: o desafio persiste
Content Type	Text
Resource Type	Article
Subject	Surgery

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