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Diversion proctocolitis and the problem of the forgotten rectum in inflammatory bowel diseases: A systematic review.

Arianna Dal BuonoMichele CarvelloDavid B SacharAntonino SpinelliSilvio DaneseGiulia Roda
Published 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.
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