diversion colitis

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diversion colitis2016-11-13T10:36:39+00:00

diversion colitis

diversion colitis image from New Medical Terms

Low power H&E stained section of diversion colitis

PATHOLOGY

Definition Acondition characterised by inflammation of surgically bypassed segments of the colon and rectum, typically seen in patients with ulcerative colitis after surgical diversion of the faecal stream, which occurs long–years–after diversion

Clinical findings Asymptomatic or bloody discharge, colicky anorectal pain, tenesmus, purulent or haemorrhagic discharge

Endoscopy Friable, erythematous and granular mucosa mimicking Crohn’s disease and ulcerative colitis

Pathogenesis Possibly due to local nutritional deficiency of mucosa

Differential diagnosis Ulcerative colitis, Crohn’s disease (diversion colitis closely mimics Crohn’s disease), diverticular disease

Management Topical use of short-chain fatty acids, butyrate enemas, restoration of faecal flow. 

Synonyms Diversion proctitis, diversion proctocolitis, exclusion colitis, exclusion proctitis, exclusion proctocolitis

References Gut. Sep 1991; 32(9): 1020–1023

http://www.uptodate.com/contents/diversion-colitis

 

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