Diversion proctocolitis and the problem of the forgotten rectum in inflammatory bowel diseases: A systematic review.
Arianna Dal BuonoMichele CarvelloDavid B SacharAntonino SpinelliSilvio DaneseGiulia RodaPublished in: United European gastroenterology journal (2021)
The etiopathogenesis of DP is still unknown. The efficacy of mesalamine, corticosteroids or short-chain fatty acids has not been proven by randomized trials yet. Since the incidence of cancer of the rectal stump can reach 4.5 per 1.000 diverted patients-year, IBD patients undergoing subtotal colectomy with end-ileostomy should undergo close endoscopic surveillance, being eventually counseled for surgery with or without the restoration of the intestinal continuity.
Keyphrases
- patients undergoing
- end stage renal disease
- fatty acid
- ejection fraction
- newly diagnosed
- minimally invasive
- chronic kidney disease
- public health
- prognostic factors
- risk factors
- peritoneal dialysis
- coronary artery bypass
- squamous cell carcinoma
- rectal cancer
- coronary artery disease
- young adults
- patient reported
- robot assisted
- percutaneous coronary intervention
- ulcerative colitis