Abstract
Diversion colitis which is noticed lately is an inflammatory process in the segments of the colorectum after surgical diversion of the fecal stream. We experienced a case with diversion colitis. A previously healthy 74 year old patient underwent left hemicolectmy, loop ileotomy and gastrotomy under the diagnosis of advnced sigmoid cancer. Ten months after the operation, colonofiberoptic examination of the diverted colon was performed for the closure of loop ileotomy. The mucosa from the coecum to the rectum was erosive, erythematous and demonstrated frank bleeding. Mucosal biopsy showed non-specific, erosive colitis. Under the diagnosis of diversion colitis, instillation of a solution containing longchain fatty acid (Intrafat) twice weeKly at the peroid of 5 weeks resulted in the disappearance of the inflammatory changes observed at endoscopy.
