Idiopathic small-intestinal inflammation after colectomy for ulcerative colitis.

Background & Aims: Severe ileostomy dysfunction with high ileostomy volumes or severe diarrhea after panproctocolectomy and restorative ileo-anal pouch formation are a rare but serious development after surgery for ulcerative colitis (UC). The incidence, severity, morbidity, and mortality are poorly documented in the literature.

Methods: We describe the case of a patient who developed life-threatening diarrhea after surgery for UC and review the literature.

Clostridium difficile infection--an unusual cause of refractory pouchitis: report of a case.

Purpose: Ileal pouch-anal anastomosis is the surgical procedure of choice for selected patients with severe ulcerative colitis. Pouchitis is a common complication of this procedure, with most cases responding to treatment with metronidazole, possibly with the addition of 5-aminosalicylic acid drugs and steroids. can frequently colonize the colon after treatment with broad-spectrum antibiotics, giving rise to diarrhea or colitis.