What is diversion proctitis?
What is diversion proctitis?
Diversion colitis or diversion proctitis is a nonspecific inflammatory disorder that occurs in segments of the colon and rectum that are diverted from the fecal stream by surgery (eg, creation of a loop colostomy/ileostomy or an end colostomy/ileostomy with closure of the distal colon segment [eg, Hartmann’s procedure …
How is diversion proctitis treated?
One method of treatment that has been studied for diversion colitis is using twice-daily enemas containing short-chain-fatty acids. When the enema treatment was found to be effective, improvement took place over a period of four to six weeks.
What causes diversion colitis?
The cause of diversion colitis is thought to be a deficiency of short-chain fatty acids, which are usually derived from fermentation of dietary starches by normal colonic bacterial flora. Short-chain fatty acids are the main source of energy for colonocytes.
What is the difference between colitis and proctitis?
The types of ulcerative colitis are categorized by how much of the colon and rectum are inflamed. Ulcerative proctitis is inflammation in the rectum, while other forms of ulcerative colitis have inflammation in one or more sections of the large intestine.
Can proctitis become cancerous?
Although proctitis may persist for many years, it is not associated with an increased incidence of cancer of the rectum or colon. With treatment, proctitis usually runs a course with periodic mild to severe episodes of symptoms.
Does diversion colitis cause pain?
Many individuals with diversion colitis will be asymptomatic, or experience no symptoms. However, some individuals may experience abdominal cramping or pain, bleeding or discharge from the rectum, and tenesmus.
Is proctitis an inflammatory bowel disease?
Ulcerative proctitis is a mild form of ulcerative colitis, a chronic inflammatory bowel disease (IBD) consisting of fine ulcerations in the inner mucosal lining of the large intestine that do not penetrate the bowel muscle wall.