短鎖脂肪酸注入療法が無効であったＤｉｖｅｒｓｉｏｎ　Ｐｒｏｃｔｏｃｏｌｉｔｉｓの１例

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タイトル別名
  • DIVERSION PROCTOCOLITIS UNRESPONSIVE TO SHORT-CHAIN FATTY ACIDS IRRIGATION
  • タンサ シボウサン チュウニュウ リョウホウ ガ ムコウ デ アッタ Diversion Proctocolitis ノ 1レイ

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抄録

Diversion proctocolitis is an inflammatory process that is peculiar to segments of the colorectum that have been bypassed by surgical diversion of the fecal stream. Short-chain fatty acids (SCFAs) irrigation has been reported to be effective against diversion proctocolitis. Here, we report a diversion proctocolitis that was unresponsive to SCFAs irrigation. A 55-year-old woman visited our hospital with a complaint of left lower abdominal pain and bloody stool about 10 years after construction of sigmoid colostomy. Colonoscopic examination revealed diffuse inflammation mimicking ulcerative colitis only in the excluded segment from the fecal stream. We diagnosed it as diversion proctocolitis, and administered SCFAs solution for this proctocolitis. However, we observed no improvement of the inflammation. It is said that diversion proctocolitis can be cured by reanastomosis. However, a novel preoperative treatment for diversion proctocolitis that is unresponsive to SCFAs irrigation, such as this, is needed in order to perform the reanastomosis safely.

収録刊行物

  • 医療

    医療 59 (10), 561-564, 2005

    一般社団法人 国立医療学会

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