A Case of Diversion Colitis Successfully Treated by Synbiotic Stimulation via the Efferent Limb.
- 1Department of Gastrointestinal Surgery Higashi Saitama General Hospital Satte Saitama Japan.
Abstract
Diversion colitis (DC) is an inflammatory condition that develops in a bowel segment excluded from the fecal stream after colostomy or ileostomy. We report a case of symptomatic DC successfully treated with synbiotic stimulation via the efferent limb of an ileostomy. A 75-year-old man underwent endoscopic mucosal resection (EMR) for a transverse colon polyp. During the procedure, thermal injury caused a perforation at the splenic flexure, necessitating emergency partial resection of the transverse colon, including the perforated site, and creation of an ileostomy. Two weeks after surgery, the patient developed recurrent hematochezia. Colonoscopy revealed severe mucosal atrophy and friability predominantly in the excluded right colon, leading to a diagnosis of DC. Because the inflammatory changes were more prominent in the right colon, synbiotic stimulation was administered anterogradely via the efferent limb of the stoma. Follow-up colonoscopy performed 1 month later demonstrated marked improvement in the mucosal findings. The patient subsequently underwent stoma closure, and the postoperative course was uneventful. This case suggests that synbiotic stimulation via the efferent limb may be an effective treatment option for symptomatic DC and may improve the condition of the excluded bowel before stoma closure.
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BibTeX
@article{tsubokawa2026case,
title = {{A Case of Diversion Colitis Successfully Treated by Synbiotic Stimulation via the Efferent Limb.}},
author = {Yasuhito Tsubokawa and Kazuhiro Nishida and Takaharu Kato},
journal = {Case reports in surgery},
year = {2026},
month = oct,
doi = {10.1155/cris/4985474},
url = {https://europepmc.org/article/MED/42923604},
note = {CC BY},
}
RIS
TY - JOUR
TI - A Case of Diversion Colitis Successfully Treated by Synbiotic Stimulation via the Efferent Limb.
AU - Yasuhito Tsubokawa
AU - Kazuhiro Nishida
AU - Takaharu Kato
PY - 2026
DA - 2026/10/21
JO - Case reports in surgery
DO - 10.1155/cris/4985474
UR - https://europepmc.org/article/MED/42923604
AB - Diversion colitis (DC) is an inflammatory condition that develops in a bowel segment excluded from the fecal stream after colostomy or ileostomy. We report a case of symptomatic DC successfully treated with synbiotic stimulation via the efferent limb of an ileostomy. A 75-year-old man underwent endoscopic mucosal resection (EMR) for a transverse colon polyp. During the procedure, thermal injury caused a perforation at the splenic flexure, necessitating emergency partial resection of the transverse colon, including the perforated site, and creation of an ileostomy. Two weeks after surgery, the patient developed recurrent hematochezia. Colonoscopy revealed severe mucosal atrophy and friability predominantly in the excluded right colon, leading to a diagnosis of DC. Because the inflammatory changes were more prominent in the right colon, synbiotic stimulation was administered anterogradely via the efferent limb of the stoma. Follow-up colonoscopy performed 1 month later demonstrated marked improvement in the mucosal findings. The patient subsequently underwent stoma closure, and the postoperative course was uneventful. This case suggests that synbiotic stimulation via the efferent limb may be an effective treatment option for symptomatic DC and may improve the condition of the excluded bowel before stoma closure.
SN - 2090-6900
SN - 2090-6919
ER -