Biochemical investigations done on the blood and urine of currently healthy, uncomplicated patients previously treated by either proctocolectomy and ileostomy or colectomy and ileorectal anastomosis for ulcerative colitis were compared with estimations on matched controls. The most striking finding was the reduced urine volume, and to a lesser extent its sodium content, in patients with ileosto...

The capacity of an oral inactivated B-subunit-whole-cell cholera vaccine to induce immune responses in patients colectomized due to ulcerative colitis was studied. Two doses of vaccine induced significant mucosal immunoglobulin A (IgA) antibody responses in ileostomy fluid against cholera toxin in 14 of 15 (93%) patients and against whole vibrios in 9 of 15 (60%) cases. The serological response...

abstract primary enterolithiasis is a rare surgical ailment. the underlying cause is intestinal stasis. numerous anatomical and micro environmental factors such as enteritis, incarcerated hernia, malignancy, diverticula, blind loops, and enteroenterostomy predispose to clinically significant concretions. enterolithiasis in tuberculosis can be due to the presence of strictures, intestinal bands,...

Surgical treatment of ulcerative colitis (UC) is indicated electively in failure medical therapy and development malignancy dysplasia long standing cases acutely fulminant colitis, perforation, bleeding, obstruction or toxic megacolon. The surgical procedure the past used to be total proctocolectomy with permanent ileostomy its attendant psychological, social, physical, sexual problems. With ad...

A woman presented with persistent ileostomy diarrhoea unresponsive to conventional drug treatment and necessitating parenteral nutrition. Output was four to six litres of watery fluid per 24 hours while she was receiving oral nutrition and two to three litres when she was starved. Treatment with a long acting analogue of somatostatin (50 micrograms subcutaneously every 12 hours) reduced the ile...

Eosinophilic enteritis is a rather rare condition that can manifest anywhere from esophagus to rectum. Its description in the literature is sparse, but associations have been made with collagen vascular disease, malignancy, food allergy, parasitic or viral infections, inflammatory bowel disease, and drug sensitivity. We present the case of a 41-year-old male diagnosed with ulcerative colitis wh...

In patients with end-stage renal disease (ESRD), the intestinal tract may assume an accessory potassium (K) excretory role in the face of declining renal excretory function. Here, we report the case of a patient with ESRD who developed severe hyperkalemia following ileostomy not colostomy. A 6△-year-old woman undergoing hemodialysis began developing severe hyperkalemia after ileostomy. Previous...

Collagenous colitis has become a more frequent diagnosis but the aetiology of this disease is still unknown. We describe a female patient with intractable collagenous colitis who was treated with a temporary loop ileostomy. She was followed clinically, histopathologically, and functionally by measuring mucosal permeability before surgery, after ileostomy, and after bowel reconstruction. In our ...

Complications like anastomotic leakage (AL) after colorectal procedures are associated with significant morbidity. Subclinical AL can be misleading due to clinical behaviour and hence poses a diagnostic dilemma. Sometimes Radiological investigations are adjunct but may be detouring in diagnostic progression. We present a case of subclinical AL where near-miss in diagnosis led to unfavourable ou...