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Diversion colitis is an inflamation of the colon which can occur as a complication of ileostomy or colostomy, often occurring within the year following the surgery. It can also occur in a neovagina created by colovaginoplasty, sometimes several years after the original procedure. Colitis is a digestive disease characterized by inflammation of the colon. ... Inflammation is the first response of the immune system to infection or irritation and may be referred to as the innate cascade. ... An ileostomy is a stoma that has been constructed by bringing the end of the small intestine (the ileum) out onto the surface of the skin. ... This article or section does not cite its references or sources. ... A colovaginoplasty (also known as colon section) is an operation where a vagina is created by cutting away a section of the sigmoid colon and using it to form a vaginal lining. ...
In many milder cases after ileostomy or colostomy, diversion colitis is left untreated and disappears naturally. If treatment is required, possible treatments include short-chain fatty acid irigation, steroid enemas and mesalazine. A steroid is a lipid characterized by a carbon skeleton with four fused rings. ... Pentasa (TM) Mesalazine is one of the newer Aminosalicylates, a class of drug used as an anti-inflammatory. ...
Colitis is a digestive disease characterized by inflammation of the colon.
Signs and symptoms of colitis include pain, tenderness in the abdomen, fever, swelling of the colon tissue, bleeding, erythema (redness) of the surface of the colon, rectal bleeding, and ulcerations of the colon.
Treatment of colitis may include the administration of antibiotics and general anti-inflammatory medications such as Mesalamine or its derivatives; steroids, or one of a number of other drugs that ameliorate inflammation.
Diversion of the faecal stream by ileostomy or colostomy leads to inflammation in the defunctioned segment, known as diversioncolitis.
We hypothesize that diversion reaction may be an inevitable consequence of colonocyte nutrient deficiency and that diversioncolitis may be superimposed by a second insult, such as a low-grade pathogen.
A condition known as diversioncolitis frequently develops in segments of the colorectum after surgical diversion of the fecal stream; it persists indefinitely unless the excluded segment is reanastomosed.