A literature review and case report of severe and refractory post-colectomy enteritis
| العنوان: | A literature review and case report of severe and refractory post-colectomy enteritis |
|---|---|
| المؤلفون: | Yuan Liu, Hong Yang, Yue Li, Wei Chen, Weiyang Zheng, Bin Wu, Yingyun Yang, Xiyu Sun, Xiaoqing Li, Jiaming Qian, Wei-Xun Zhou, Tao Guo |
| المصدر: | BMC Gastroenterology BMC Gastroenterology, Vol 19, Iss 1, Pp 1-7 (2019) |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | Diarrhea, medicine.medical_specialty, medicine.drug_class, medicine.medical_treatment, Case Report, Enteritis, 03 medical and health sciences, Ileostomy, 0302 clinical medicine, Postoperative Complications, Internal medicine, medicine, Humans, lcsh:RC799-869, Glucocorticoids, Colectomy, business.industry, IPAA, Post-colectomy enteritis, Proctocolectomy, Restorative, Gastroenterology, Acute kidney injury, Shock, General Medicine, Hepatology, Acute Kidney Injury, Middle Aged, medicine.disease, Ulcerative colitis, Surgery, 030220 oncology & carcinogenesis, Shock (circulatory), Corticosteroid, Prednisone, 030211 gastroenterology & hepatology, lcsh:Diseases of the digestive system. Gastroenterology, Colitis, Ulcerative, Female, medicine.symptom, business |
| الوصف: | Background Ulcerative colitis (UC)-related post-colectomy enteritis is a very rare condition that is characterized by diffuse small-bowel mucosal inflammation following colectomy and could be very dangerous. In previously reported cases, corticosteroid therapy seemed to be the optimal choice for inducing remission; however, the patient studied herein presented with severe diarrhoea and hypovolemic shock and failed to achieve full remission with corticosteroid therapy. Case presentation We describe the case of a patient with severe pan-enteritis presenting with life-threatening diarrhoea complicated with hypovolemic shock and acute kidney injury after colectomy and ileal pouch anal anastomosis (IPAA) for UC; this patient was successfully treated by ileostomy closure after failing to achieve full remission with corticosteroid therapy. Next, we review other cases of post-colectomy enteritis reported in the literature and propose a flow-chart for its diagnosis and initial treatment. Conclusion Post-colectomy enteritis can be dangerous, and the early awareness of this condition plays a vital role. Additionally, in patients who do not respond well to corticosteroid or immunosuppressant therapy, early closure of the ileostomy and re-establishment of the natural faecal stream could be important considerations. Electronic supplementary material The online version of this article (10.1186/s12876-019-0974-4) contains supplementary material, which is available to authorized users. |
| تدمد: | 1471-230X |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::cedefbe9cc4fff3ee5a86f8fad7bb665 https://pubmed.ncbi.nlm.nih.gov/31023233 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....cedefbe9cc4fff3ee5a86f8fad7bb665 |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 1471230X |
|---|