Orsay C P, Kim D O, Pearl R K, Abcarian H
Section of Colon and Rectal Surgery, Cook County Hospital, Chicago, Illinois 60612.
Dis Colon Rectum. 1993 Apr;36(4):366-7. doi: 10.1007/BF02053940.
Despite recent work, diversion colitis remains poorly defined. Thirty-four patients, scheduled for colostomy closure, were prospectively evaluated with flexible sigmoidoscopy for diversion colitis. Biopsies and cultures were obtained if colitis was identified at endoscopy. All biopsy materials and cultures were consistent with inflammation only. The vast majority of patients were in good general health, and their colostomies were constructed as the result of trauma. Eight patients (24 percent) had normal-appearing colons at an average of 16.6 weeks following diversion. Twenty-six patients (76 percent) demonstrated mild to severe colitis at an average of 29.9 weeks following diversion. Three complications occurred in 22 patients after colostomy closure: two wound infections in patients with colitis and one in a patient with a normal colon. We conclude that diversion colitis in an otherwise individual constitutes no increased risk of infection following colostomy closure.
尽管近期有相关研究，但改道性结肠炎的定义仍不明确。对34例计划行结肠造口关闭术的患者进行了乙状结肠镜前瞻性评估，以诊断改道性结肠炎。如果在内镜检查中发现结肠炎，则进行活检和培养。所有活检材料和培养结果均仅显示炎症。绝大多数患者总体健康状况良好，其结肠造口是由外伤所致。8例患者（24%）在改道后平均16.6周时结肠外观正常。26例患者（76%）在改道后平均29.9周时出现轻度至重度结肠炎。22例患者在结肠造口关闭术后出现3例并发症：2例为结肠炎患者发生伤口感染，1例为结肠正常的患者发生伤口感染。我们得出结论，在其他方面正常的个体中，改道性结肠炎不会增加结肠造口关闭术后的感染风险。
