Micrograph showing colonic-type mucosa with follicular lymphoid hyperplasia, as is seen in diversion colitis. H&E stain.
Specialty
Gastroenterology
Causes
Surgery with diversion of colon (ileostomy or colostomy)
Treatment
Short-chain fatty acid enemas
Medication
Mesalazine
Diversion colitis is an inflammation of the colon which can occur as a complication of ileostomy or colostomy, where symptoms may occur between one month and three years following surgery.[1] It also occurs frequently in a neovagina created by colovaginoplasty, with varying delay after the original procedure.[2] Despite the presence of a variable degree of inflammation the most suggestive histological feature remains the prominent lymphoid aggregates.
^Tominaga K, Kamimura K, Takahashi K, Yokoyama J, Yamagiwa S, Terai S (April 2018). "Diversion colitis and pouchitis: A mini-review". World Journal of Gastroenterology. 24 (16): 1734–1747. doi:10.3748/wjg.v24.i16.1734. PMC 5922993. PMID 29713128.
^van der Sluis WB, Bouman MB, Meijerink WJ, Elfering L, Mullender MG, de Boer NH, van Bodegraven AA (March 2016). "Diversion neovaginitis after sigmoid vaginoplasty: endoscopic and clinical characteristics". Fertility and Sterility. 105 (3): 834–839.e1. doi:10.1016/j.fertnstert.2015.11.013. PMID 26632208.
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