A prospective evaluation of diversion colitis.

摘要: Numerous case reports suggest that diversion of the fecal stream results in nonspecific colitis, with abnormalities ranging from minimal friability to gross ulceration. Published consist largely patients symptomatic and there are scant data suggesting at what frequency colitis actually occurs. In an attempt identify any associated etiologic factors, 20 scheduled for colostomy closure Grady Memorial Hospital between 8/1/88 6/15/89 underwent colonoscopy, including excluded segment, evaluate colitis. Colostomies were performed management diverticulitis, trauma, cancer, protection anastomosis, fistula. Patients ulcerative or Crohn's disease excluded. The colon was classified grossly as normal (including easy friability, edema, inflammation, ulceration colitis). Fourteen (70%) had findings (DC), while six a exam (NL). Nine biopsies DC group all revealed microscopic abnormalities. One also biopsied, revealing mild, changes. There no difference mean age (DC 49.3, NL 48.2), interval formation 9.21 +/- 7.27 months, 2.83 1.94 months), type colostomy, reason two groups. None symptoms (mucous bloody discharge, tenesmus, pain), one manifested after closure. We conclude is common subclinical problem diverting colostomy.(ABSTRACT TRUNCATED AT 250 WORDS)