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Abstract
Diversion colitis is a common phenomenon affecting patients after defunctioning ileostomy. We present a complex case of diversion colitis where the patient was deemed unsuitable for restorative surgery due to multiple areas of stricturing in a long defunctioned colonic segment. Despite initial treatments with rectally administered topical mesalazine, butyrate enemas and topical steroid therapy, the patient remained symptomatic with rectal bleeding and mucus discharge. Furthermore, the appearance of colitis could be appreciated on endoscopy and radiological investigations with changes in histology consistent with moderate–severe diversion colitis. This article describes our experience in the use of autologous faecal transplant administered via the efferent loop of a double-barrel ileostomy to successfully treat diversion colitis refractory to standard topical therapy.
- Inflammatory bowel disease
- General surgery
- Gastrointestinal system
- Gastroenterology
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Footnotes
Contributors I can confirm that the authors stated contributed substantially to the article. NA was responsible for overseeing the project and he performed all the endoscopy examinations and will act as guarantor for this article. FH and MR contributed to data collection and provided follow-up for the study patient. JMFT was responsible for the planning of the project and was involved in all aspects of the patient’s care including endoscopy, outpatient follow-up and write-up of the article.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.
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