Bowel diversion should be used with caution in stenosing anal Crohn's disease.
Open Access
- 1 August 1994
- Vol. 35 (8) , 1139-1140
- https://doi.org/10.1136/gut.35.8.1139
Abstract
Proximal diversion has commonly been used for severe perianal Crohn's disease in an attempt to relieve local symptoms, whether the primary intestinal disease is in the colon or small bowel. Two patients are presented in whom diversion led to severe symptomatic disease in the previously normal defunctioned bowel. In each case the development of colonic disease was associated with increasing anal stenosis leading to retention of purulent fluid within the bowel lumen. Faecal stream diversion should be used with caution in stenosing anal Crohn's disease.Keywords
This publication has 9 references indexed in Scilit:
- Treatment of diversion colitis by short-chain fatty acidsDiseases of the Colon & Rectum, 1991
- Proctitis after fecal diversion in Crohn's disease and its elimination with reanastomosis: implications for surgical management. Report of four cases.1984
- Proctitis after fecal diversion in Crohn's disease and its elimination with reanastomosis: Implications for surgical managementGastroenterology, 1984
- Proctitis and colitis following diversion of the fecal streamGastroenterology, 1981
- Natural history of perianal Crohn's diseaseThe American Journal of Surgery, 1980
- Anorectal manifestations of inflammatory bowel disease.1980
- Surgical Pathology and Management of Anorectal Crohn's DiseaseJournal of the Royal Society of Medicine, 1978
- Anal Lesions Complicating Crohn DiseaseArchives of Surgery, 1976
- The effects of diversion of intestinal contents on the progress of Crohn's disease of the large bowelGut, 1971