Löhr H F, Mayet W J, Singe C C, Ramadori G, Meyer zum Büschenfelde K H
I. Medizinische Klinik und Poliklinik, Universität Mainz.
Z Gastroenterol. 1989 Apr;27(4):221-4.
A 45 year old man, suffering from Crohn's disease of the colon, and a 25 year old woman, with ileocolitis Crohn, developed a diversion colitis in the remaining distal segment of the colorectum after ileostomy. After reanastomosis, which was done 11 and 2 years later, the diversion colitis vanished spontaneously. This case report and the data in literature indicate the opinion, that reanastomosis of the distal colon should be done early after diversion, if there are no specific signs of Crohn's disease in the remaining colorectum.
一名45岁患有结肠克罗恩病的男性和一名25岁患有回结肠克罗恩病的女性,在回肠造口术后,在结直肠剩余的远端部分发生了改道性结肠炎。在分别于11年和2年后进行重新吻合术后,改道性结肠炎自行消失。本病例报告及文献数据表明,如果在剩余的结直肠中没有克罗恩病的特异性体征,应在改道后尽早进行远端结肠的重新吻合。