Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with symptoms of diversion colitis in the excluded rectal/colonic segment, including rectal bleeding, mucoid discharge, and tenesmus. Symptoms are associated with a history of fecal diversion (e.g., ileostomy or colostomy). Patient denies systemic symptoms such as fever or weight loss. Duration of symptoms: [Insert duration].
Clinical Examination Findings
Abdominal examination: Soft, non-tender, non-distended. Surgical site: Well-healed stoma with healthy mucosa. Digital Rectal Examination (DRE) or endoscopic evaluation: Reveals mucosal erythema, friability, granularity, and loss of vascular pattern in the diverted segment. No evidence of mass or stricture.
Treatment Protocol
Treatment plan: Initiation of topical short-chain fatty acid (SCFA) enemas or topical 5-ASA (mesalamine) enemas/suppositories daily for [Insert duration]. Consider surgical re-anastomosis if clinically indicated and patient is a candidate. Monitor for symptom resolution or progression.