Format

Send to

Choose Destination
Clin Gastroenterol Hepatol. 2008 Jun;6(6):707-9. doi: 10.1016/j.cgh.2008.02.031. Epub 2008 May 7.

Idiopathic small-intestinal inflammation after colectomy for ulcerative colitis.

Author information

1
Centre for Medical and Surgical Gastroenterology and Hepatology, Princess Grace Hospital, London, United Kingdom. ian_gooding@yahoo.co.uk

Abstract

BACKGROUND & AIMS:

Severe ileostomy dysfunction with high ileostomy volumes or severe diarrhea after panproctocolectomy and restorative ileo-anal pouch formation are a rare but serious development after surgery for ulcerative colitis (UC). The incidence, severity, morbidity, and mortality are poorly documented in the literature.

METHODS:

We describe the case of a patient who developed life-threatening diarrhea after surgery for UC and review the literature.

RESULTS:

Eight cases have now been described in the literature. Small-bowel disease has developed up to 17 months after colectomy. Most cases responded to corticosteroid therapy. A single case in which this treatment was delayed was fatal.

CONCLUSIONS:

This is a rare sequel to colectomy for UC, but one which is serious and can be fatal. If the diagnosis is made promptly, a full response to treatment can be expected and the long-term outlook is excellent.

PMID:
18467187
DOI:
10.1016/j.cgh.2008.02.031
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center