Diversion colitis (Review of the literature)
Abstract
The aim of review. To study issues of diversion colitis and its effect on results of reconstructive interventions on the large intestine.
Recent literature data. The diversion colitis is the inflammatory disease, that develops in defunctioned colon and/or rectum with histological pattern of noncontagious colitis. Different authors claim, that elimination of short-chain fatty acids (SCFA) from intestinal lumen plays the leading role in pathogenesis of diversion colitis. Up to now, there are no convincing data on preference any of methods of conservative therapy for diversion colitis, that as well proves complexity of its pathogenesis and necessity of intensive studying of this problem by both coloproctologists and gastroenterologists. Definite positive effect of restoration of natural passage of intestinal contents through excluded region is an important factor in comprehension of this pathological process. Preoperative therapy decreasing degree of inflammation is necessary.
Conclusion. Further studies on application of SCFA preparations, anti-inflammatory drugs in preparation to reconstructive operations are necessary to improve efficacy of diversion colitis treatment.
About the Authors
G. I. Vorob’yevRussian Federation
A. P. Zhuchenko
Russian Federation
A. F. Filon
Russian Federation
G. M. Kitchiyeva
Russian Federation
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Review
For citations:
Vorob’yev G.I., Zhuchenko A.P., Filon A.F., Kitchiyeva G.M. Diversion colitis (Review of the literature). Russian Journal of Gastroenterology, Hepatology, Coloproctology. 2008;18(5):65-70. (In Russ.)
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