Mucosal enteritis: a complication of the continent ileostomy.
Mucosal enteritis, a nonspecific inflammation of both the mucosa and submucosa, is a complication seen in 13 per cent to 43 per cent of patients with a continent ileostomy. Six cases are presented with emphasis on history, diagnosis, and treatment. Because the inflammation is secondary to an overgrowth of anaerobic bacteria in a functional blind loop, treatment consists of drainage and antibiotics. Metronidazole may be the drug of choice. Refractory cases will benefit only by resection and conversion to a Brooke ileostomy.
D000328:Adult; D004322:Drainage; D004751:Enteritis / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D005260:Female; D006801:Humans; D007081:Ileostomy / Q000009:adverse effects*; D007413:Intestinal Mucosa; D008297:Male; D008795:Metronidazole / Q000627:therapeutic use; D008875:Middle Aged
D008795:Metronidazole