A case of diversion colitis with severe anemia improved by restoring gastrointestinal continuity

Hideya Ohnishi, Junichi Yoshida, Masaki Takashima, Ryouichi Liyama, Yoshihiro Oohata, Ryuichi Mibu, Hiroshi Satoh, Masao Tanaka

Research output: Contribution to journalArticle

Abstract

A few Japanese cases of symptomatic diversion colitis (DC), or enteritis occurring in excluded segments of the bowel have been reported. We herein present a case of DC with severe anemia. A 33-year-old man underwent ileocecal resection, ileostomy and construction of a mucous fistula of the ascending colon in June 1995 under the diagnosis of intestinal obstruction due to extensive malignant lymphoma involving the mesenterium. Complete remission was obtained by chemotherapy. When he was admitted for closure of the ileostomy and mucous fistula in March 1995, he had severe anemia: serum hemoglobin 6.4 g/dl. A bloody discharge from the mocous fistula was found. Colonoscopy revealed bleeding, erythema and mucosal nodularity, sugesting DC. The inflammatory findigns, bloody discharge and anemia improved soon after closure of the enterostomy. Treatment of DC is most effective in restoring the fecal stream by reanastomosis. When the bowels are excluded, it is important to perform endoscopie examination, regularly and actively, to detect DC early and distinguish it from other inflammatory bowel diseases.

Original languageEnglish
Pages (from-to)1983-1986
Number of pages4
JournalJapanese Journal of Gastroenterological Surgery
Volume29
Issue number10
DOIs
Publication statusPublished - Jan 1 1996

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Colitis
Anemia
Fistula
Ileostomy
Enterostomy
Ascending Colon
Enteritis
Intestinal Obstruction
Colonoscopy
Erythema
Inflammatory Bowel Diseases
Lymphoma
Hemoglobins
Hemorrhage
Drug Therapy
Serum

All Science Journal Classification (ASJC) codes

  • Surgery
  • Gastroenterology

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A case of diversion colitis with severe anemia improved by restoring gastrointestinal continuity. / Ohnishi, Hideya; Yoshida, Junichi; Takashima, Masaki; Liyama, Ryouichi; Oohata, Yoshihiro; Mibu, Ryuichi; Satoh, Hiroshi; Tanaka, Masao.

In: Japanese Journal of Gastroenterological Surgery, Vol. 29, No. 10, 01.01.1996, p. 1983-1986.

Research output: Contribution to journalArticle

Ohnishi, Hideya ; Yoshida, Junichi ; Takashima, Masaki ; Liyama, Ryouichi ; Oohata, Yoshihiro ; Mibu, Ryuichi ; Satoh, Hiroshi ; Tanaka, Masao. / A case of diversion colitis with severe anemia improved by restoring gastrointestinal continuity. In: Japanese Journal of Gastroenterological Surgery. 1996 ; Vol. 29, No. 10. pp. 1983-1986.
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