Temporary Fecal Diversion in the Management of Colorectal and Perianal Crohn’s Disease
Aim. To evaluate the results of temporary fecal diversion in colorectal and perianal Crohn’s disease. Method. We retrospectively identified 29 consecutive patients (14 females, 15 males; median age: 30.0 years, range: 18–76) undergoing temporary fecal diversion for colorectal (n=14), ileal (n=4), an...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2015/286315 |
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| author | Rudolf Mennigen Britta Heptner Norbert Senninger Emile Rijcken |
| author_facet | Rudolf Mennigen Britta Heptner Norbert Senninger Emile Rijcken |
| author_sort | Rudolf Mennigen |
| collection | DOAJ |
| description | Aim. To evaluate the results of temporary fecal diversion in colorectal and perianal Crohn’s disease. Method. We retrospectively identified 29 consecutive patients (14 females, 15 males; median age: 30.0 years, range: 18–76) undergoing temporary fecal diversion for colorectal (n=14), ileal (n=4), and/or perianal Crohn’s disease (n=22). Follow-up was in median 33.0 (3–103) months. Response to fecal diversion, rate of stoma reversal, and relapse rate after stoma reversal were recorded. Results. The response to temporary fecal diversion was complete remission in 4/29 (13.8%), partial remission in 12/29 (41.4%), no change in 7/29 (24.1%), and progress in 6/29 (20.7%). Stoma reversal was performed in 19 out of 25 patients (76%) available for follow-up. Of these, the majority (15/19, 78.9%) needed further surgical therapies for a relapse of the same pathology previously leading to temporary fecal diversion, including colorectal resections (10/19, 52.6%) and creation of a definitive stoma (7/19, 36.8%). At the end of follow-up, only 4/25 patients (16%) had a stable course without the need for further definitive surgery. Conclusion. Temporary fecal diversion can induce remission in otherwise refractory colorectal or perianal Crohn’s disease, but the chance of enduring remission after stoma reversal is low. |
| format | Article |
| id | doaj-art-245e6229e23d42ed9d04e7fd95a6f5b4 |
| institution | Kabale University |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Gastroenterology Research and Practice |
| spelling | doaj-art-245e6229e23d42ed9d04e7fd95a6f5b42025-02-03T01:11:05ZengWileyGastroenterology Research and Practice1687-61211687-630X2015-01-01201510.1155/2015/286315286315Temporary Fecal Diversion in the Management of Colorectal and Perianal Crohn’s DiseaseRudolf Mennigen0Britta Heptner1Norbert Senninger2Emile Rijcken3Department of General and Visceral Surgery, University Hospital Muenster, Albert-Schweitzer-Campus 1, 48149 Muenster, GermanyDepartment of General and Visceral Surgery, University Hospital Muenster, Albert-Schweitzer-Campus 1, 48149 Muenster, GermanyDepartment of General and Visceral Surgery, University Hospital Muenster, Albert-Schweitzer-Campus 1, 48149 Muenster, GermanyDepartment of General and Visceral Surgery, University Hospital Muenster, Albert-Schweitzer-Campus 1, 48149 Muenster, GermanyAim. To evaluate the results of temporary fecal diversion in colorectal and perianal Crohn’s disease. Method. We retrospectively identified 29 consecutive patients (14 females, 15 males; median age: 30.0 years, range: 18–76) undergoing temporary fecal diversion for colorectal (n=14), ileal (n=4), and/or perianal Crohn’s disease (n=22). Follow-up was in median 33.0 (3–103) months. Response to fecal diversion, rate of stoma reversal, and relapse rate after stoma reversal were recorded. Results. The response to temporary fecal diversion was complete remission in 4/29 (13.8%), partial remission in 12/29 (41.4%), no change in 7/29 (24.1%), and progress in 6/29 (20.7%). Stoma reversal was performed in 19 out of 25 patients (76%) available for follow-up. Of these, the majority (15/19, 78.9%) needed further surgical therapies for a relapse of the same pathology previously leading to temporary fecal diversion, including colorectal resections (10/19, 52.6%) and creation of a definitive stoma (7/19, 36.8%). At the end of follow-up, only 4/25 patients (16%) had a stable course without the need for further definitive surgery. Conclusion. Temporary fecal diversion can induce remission in otherwise refractory colorectal or perianal Crohn’s disease, but the chance of enduring remission after stoma reversal is low.http://dx.doi.org/10.1155/2015/286315 |
| spellingShingle | Rudolf Mennigen Britta Heptner Norbert Senninger Emile Rijcken Temporary Fecal Diversion in the Management of Colorectal and Perianal Crohn’s Disease Gastroenterology Research and Practice |
| title | Temporary Fecal Diversion in the Management of Colorectal and Perianal Crohn’s Disease |
| title_full | Temporary Fecal Diversion in the Management of Colorectal and Perianal Crohn’s Disease |
| title_fullStr | Temporary Fecal Diversion in the Management of Colorectal and Perianal Crohn’s Disease |
| title_full_unstemmed | Temporary Fecal Diversion in the Management of Colorectal and Perianal Crohn’s Disease |
| title_short | Temporary Fecal Diversion in the Management of Colorectal and Perianal Crohn’s Disease |
| title_sort | temporary fecal diversion in the management of colorectal and perianal crohn s disease |
| url | http://dx.doi.org/10.1155/2015/286315 |
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