title: [A case of diversion colitis successfully treated with 5-aminosalicylic acid].
abstract: An 84-year-old man was admitted to our hospital because of blood in the stool. He had previously undergone a subtotal colectomy and ileostomy with a mucous fistula of the sigmoid colon because of a large bowel hemorrhage of unknown origin. Five years later, a minor hemorrhage developed in the remnant rectum. The clinical history, colonoscopic findings, and the histology of the diverted colon specimens were suggestive of diversion colitis. Treatment was initiated with short-chain fatty acid enema, but slight blood loss through the stool continued;thus, the patient was administered 5-aminosalicylic acid (5-ASA) enema. Subsequently, his symptoms and endoscopic findings improved. 5-ASA enema appears to be both safe and effective in the treatment of diversion colitis following intestinal tract surgery.
authors.affiliation: Department of Gastroenterology and Metabolism, Hiroshima University Hospital, Japan. kominami@hiroshima-u.ac.jp
authors.forename: Yoko
authors.initials: Y
authors.lastname: Kominami
authors.forename: Hirotoki
authors.initials: H
authors.lastname: Ohe
authors.forename: Reiji
authors.initials: R
authors.lastname: Higashi
authors.forename: Ken
authors.initials: K
authors.lastname: Hirao
authors.forename: Tsuneyoshi
authors.initials: T
authors.lastname: Ogawa
authors.forename: Masahiro
authors.initials: M
authors.lastname: Nakagawa
authors.forename: Yasuyuki
authors.initials: Y
authors.lastname: Araki
authors.forename: Motowo
authors.initials: M
authors.lastname: Mizuno
authors.forename: Kazuaki
authors.initials: K
authors.lastname: Chayama
mesh_terms: D000369:Aged, 80 and over; D003082:Colectomy; D003092:Colitis / Q000188:drug therapy* / Q000209:etiology; D004733:Enema; D006801:Humans; D007081:Ileostomy; D008297:Male; D019804:Mesalamine / Q000008:administration & dosage*; D011183:Postoperative Complications
chemical_list: D019804:Mesalamine