title: Lymphocytic colitis treated with proctocolectomy and ileal J-pouch-anal anastomosis: report of a case.
abstract: OBJECTIVE
  We present a case of severe diarrhea caused by lymphocytic colitis and concurrent celiac sprue in a patient who did not respond to maximal medical therapy and required surgery.
  
  
  METHODS
  The patient was initially treated with fecal diversion via an end ileostomy. Six months later, she underwent colectomy and one-stage ileal J-pouch-anal anastomosis.
  
  
  RESULTS
  Notably, the characteristic microscopic changes of lymphocytic colitis were still present at the time of colectomy despite diversion.
  
  
  CONCLUSIONS
  Colectomy with continent reconstruction is an option for treatment of patients with lymphocytic colitis refractory to medical therapy.
authors.affiliation: Price Institute of Surgical Research, Department of Surgery, University of Louisville School of Medicine, Kentucky 40292, USA.
authors.forename: Linda
authors.initials: L
authors.lastname: Varghese
authors.forename: Susan
authors.initials: S
authors.lastname: Galandiuk
authors.forename: William J
authors.initials: WJ
authors.lastname: Tremaine
authors.forename: Lawrence J
authors.initials: LJ
authors.lastname: Burgart
mesh_terms: D001003:Anal Canal / Q000473:pathology / Q000601:surgery; D000714:Anastomosis, Surgical; D003092:Colitis / Q000473:pathology / Q000601:surgery*; D003106:Colon / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D008218:Lymphocytosis / Q000473:pathology / Q000601:surgery*; D008875:Middle Aged; D016737:Proctocolectomy, Restorative