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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 ]
The process of adjusting to life with an anal pouch can take many months. Mayo Clinic research estimates that up to 75% of people with a pouch might experience some level of pelvic floor dysfunction after pouch surgery. [118] For pouches that are difficult to evacuate or experience anal seepage, biofeedback therapy can be prescribed. [119]
Vitamin D treatment may be associated with less inflammatory bowel disease reoccurrence of symptoms (relapse). It is not clear if this treatment improves the person's quality of life or what the clinical response to vitamin D treatment. The ideal treatment regime and dose of vitamin D therapy has not been well enough studied. [90]
Ileostomy is a stoma (surgical opening) constructed by bringing the end or loop of small intestine (the ileum) out onto the surface of the skin, or the surgical procedure which creates this opening. [1] Intestinal waste passes out of the ileostomy and is collected in an external ostomy system which is placed next to
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People with symptoms that are disabling and do not respond to drugs may wish to consider whether surgery would improve the quality of life. [ 14 ] The removal of the entire large intestine, known as a proctocolectomy , results in a permanent ileostomy – where a stoma is created by pulling the terminal ileum through the abdomen.
The improvement to quality of life following an intestinal transplantation is significant. Of living patients 6 months after transplant, 70% are considered to have regained full intestinal function, 15% are at partial function, and 15% have had their grafts removed. [9] [14] For those with full function, enteral nutritional autonomy is high. [7]