{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T21:10:01Z","timestamp":1771708201696,"version":"3.50.1"},"reference-count":32,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2018,8,2]],"date-time":"2018-08-02T00:00:00Z","timestamp":1533168000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["surg case rep"],"published-print":{"date-parts":[[2018,12]]},"DOI":"10.1186\/s40792-018-0490-8","type":"journal-article","created":{"date-parts":[[2018,8,2]],"date-time":"2018-08-02T07:16:28Z","timestamp":1533194188000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["The surgical treatment of acute and severe diversion colitis mimicking ulcerative colitis: a case report"],"prefix":"10.1186","volume":"4","author":[{"given":"Nao","family":"Kakizawa","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8554-3869","authenticated-orcid":false,"given":"Shingo","family":"Tsujinaka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasuyuki","family":"Miyakura","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rina","family":"Kikugawa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fumi","family":"Hasegawa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hideki","family":"Ishikawa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sawako","family":"Tamaki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jun","family":"Takahashi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshiki","family":"Rikiyama","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2018,8,2]]},"reference":[{"key":"490_CR1","doi-asserted-by":"crossref","first-page":"438","DOI":"10.1016\/0016-5085(81)90003-2","volume":"80","author":"DJ Glotzer","year":"1981","unstructured":"Glotzer DJ, Glick ME, Goldman H. Proctitis and colitis following diversion of the fecal stream. Gastroenterology. 1981;80:438\u201341.","journal-title":"Gastroenterology"},{"key":"490_CR2","first-page":"485","volume-title":"Gastrointestinal pathology","author":"BC Morson","year":"1972","unstructured":"Morson BC, Dawson IM. Gastrointestinal pathology. 1st ed. London: Blackwell Scientific Publicatiions; 1972. p. 485.","edition":"1"},{"key":"490_CR3","doi-asserted-by":"publisher","first-page":"703","DOI":"10.1097\/MIB.0000000000000227","volume":"21","author":"W Xian-rui","year":"2015","unstructured":"Xian-rui W, Xiu-li L, Seymour K, Bo S. Pathogenesis, diagnosis, and management of ulcerative proctitis, chronic radiation proctopathy, and diversion proctitis. Inflamm Bowel Dis. 2015;21:703\u201315.","journal-title":"Inflamm Bowel Dis"},{"key":"490_CR4","doi-asserted-by":"publisher","first-page":"1020","DOI":"10.1136\/gut.32.9.1020","volume":"32","author":"JM Geraghty","year":"1991","unstructured":"Geraghty JM, Talbot IC. Diversion colitis: histological features in the colon and rectum after defunctioning colostomy. Gut. 1991;32:1020.","journal-title":"Gut"},{"key":"490_CR5","doi-asserted-by":"publisher","first-page":"341","DOI":"10.1016\/j.anndiagpath.2013.04.001","volume":"17","author":"P Gill","year":"2013","unstructured":"Gill P, Chetty R. Filiform polyps and filiform polyp-like lesions are common in defunctioned or diverted colorectum resection specimens. Ann Diagn Pathol. 2013;17:341.","journal-title":"Ann Diagn Pathol"},{"key":"490_CR6","doi-asserted-by":"publisher","first-page":"86","DOI":"10.1046\/j.1365-2559.1999.0728b.x","volume":"35","author":"CM Edwards","year":"1999","unstructured":"Edwards CM, George B, Warren B. Diversion colitis\u2014new light through old windows. Histopathology. 1999;35:86\u20137.","journal-title":"Histopathology"},{"key":"490_CR7","first-page":"46","volume":"57","author":"CM Ferguson","year":"1991","unstructured":"Ferguson CM, Siegel RJ. A prospective evaluation of diversion colitis. Am Surg. 1991;57:46\u20139.","journal-title":"Am Surg"},{"key":"490_CR8","doi-asserted-by":"publisher","first-page":"366","DOI":"10.1007\/BF02053940","volume":"36","author":"CP Orsay","year":"1993","unstructured":"Orsay CP, Kim DO, Pearl RK, Abcarian H. Diversion colitis in patients scheduled for colostomy closure. Dis Colon Rectum. 1993;36:366\u20137.","journal-title":"Dis Colon Rectum"},{"key":"490_CR9","doi-asserted-by":"crossref","first-page":"710","DOI":"10.1016\/0016-5085(84)90547-X","volume":"87","author":"BI Korelitz","year":"1984","unstructured":"Korelitz BI, Cheskin LJ, Sohn N, Sommers SC. Proctitis after fecal diversion in Crohn\u2019s disease and its elimination with reanastomosis: implications for surgical management. Report of four cases. Gastroenterology. 1984;87:710\u20133.","journal-title":"Gastroenterology"},{"issue":"2","key":"490_CR10","doi-asserted-by":"publisher","first-page":"142","DOI":"10.1080\/10790268.2000.11753522","volume":"23","author":"JH Frisbie","year":"2000","unstructured":"Frisbie JH, Ahmed N. Diversion colitis in patients with myelopathy: clinical, endoscopic, and histopathological findings. J. Spinal Cord Med. 2000;23(2):142\u20139.","journal-title":"J. Spinal Cord Med"},{"key":"490_CR11","doi-asserted-by":"publisher","first-page":"23","DOI":"10.1056\/NEJM198901053200105","volume":"320","author":"JM Harig","year":"1989","unstructured":"Harig JM, Soergel KH, Komorowski RA, Wood CM. Treatment of diversion colitis with short-chain-fatty acid irrigation. N Engl J Med. 1989;320:23\u20138.","journal-title":"N Engl J Med"},{"key":"490_CR12","doi-asserted-by":"publisher","first-page":"548","DOI":"10.1097\/00000478-199006000-00005","volume":"14","author":"RA Komorowski","year":"1990","unstructured":"Komorowski RA. Histologic spectrum of diversion colitis. Am J Surg Pathol. 1990;14:548\u201354.","journal-title":"Am J Surg Pathol"},{"key":"490_CR13","doi-asserted-by":"publisher","first-page":"184","DOI":"10.1080\/003655200750024371","volume":"35","author":"J Schauber","year":"2000","unstructured":"Schauber J, Bark T, Jaramillo E, Katouli M, Sandstedt B, Svenberg T. Local short-chain fatty acids supplementation without beneficial effect on inflammation in excluded rectum. Scand J Gastoenterol. 2000;35:184\u20139.","journal-title":"Scand J Gastoenterol"},{"key":"490_CR14","first-page":"861864","volume":"34","author":"F Guillemot","year":"1991","unstructured":"Guillemot F, Colombel JF, Neut C, Verplanck N, Lecomte M, Romond C, et al. Treatment of diversion colitis by short-chain fatty acids. Prospective and double-blind study. Dis Colon Rectum. 1991;34:861864.","journal-title":"Dis Colon Rectum"},{"key":"490_CR15","first-page":"645","volume":"87","author":"J Tripodi","year":"1992","unstructured":"Tripodi J, Gorcey S, Burakoff R. A case of diversion colitis treated with 5-aminosalicylic acid enemas. Am J Gastroenterol. 1992;87:645\u20137.","journal-title":"Am J Gastroenterol"},{"key":"490_CR16","first-page":"1508","volume":"90","author":"ES Lu","year":"1995","unstructured":"Lu ES, Lin T, Harms BL, Gaumnitz EA, Singaram C. A severe case of diversion colitis with large ulcerations. Am J Gastroenterl. 1995;90:1508\u201310.","journal-title":"Am J Gastroenterl"},{"key":"490_CR17","doi-asserted-by":"publisher","unstructured":"Nawrani D, Turton P, Burke D. A case of fulminant diversion pan-colitis presenting 19 years after colonic diversion for neuronal intestinal dysplasia. BMJ Case Rep. 2009; \n                    https:\/\/doi.org\/10.1136\/bcr.03.2009.1681\n                    \n                  .","DOI":"10.1136\/bcr.03.2009.1681"},{"key":"490_CR18","doi-asserted-by":"publisher","first-page":"19","DOI":"10.1007\/BF02909487","volume":"8","author":"RL Whelan","year":"1994","unstructured":"Whelan RL, Abramson D, Kim DS, Hashmi HF. Diversion colitis. A prospective study. Surg Endosc. 1994;8:19\u201324.","journal-title":"Surg Endosc"},{"key":"490_CR19","doi-asserted-by":"publisher","first-page":"858","DOI":"10.1007\/BF02051922","volume":"33","author":"WE Roediger","year":"1990","unstructured":"Roediger WE. The starved colon-diminished mucosal nutrition, diminished absorption, and colitis. Dis Colon Rectum. 1990;33:858\u201362.","journal-title":"Dis Colon Rectum"},{"issue":"2","key":"490_CR20","doi-asserted-by":"publisher","first-page":"217","DOI":"10.1016\/j.surg.2013.06.057","volume":"155","author":"V Alvarenga Jr","year":"2014","unstructured":"Alvarenga V Jr, Rodrigo GP, Esposito CC, Buongusto F, Castelo-Branco MT, Madi K, et al. Ascidian (chordate-tunicate) and mammalian heparin enemas attenuate experimental diversion colitis. Surgery. 2014;155(2):217\u201327.","journal-title":"Surgery"},{"key":"490_CR21","doi-asserted-by":"publisher","first-page":"1094","DOI":"10.1136\/gut.30.8.1094","volume":"30","author":"C Neut","year":"1989","unstructured":"Neut C, Colombel JF, Guillemot F, Cortoto A, Gower P, Quandalle P, et al. Impaired bacterial flora in human excluded colon. Gut. 1989;30:1094\u20138.","journal-title":"Gut"},{"key":"490_CR22","doi-asserted-by":"publisher","first-page":"400","DOI":"10.1136\/gut.40.3.400","volume":"40","author":"JR Jorgensen","year":"1997","unstructured":"Jorgensen JR, Clausen MR, Mortensen PB. Oxidation of short and medium chain C2-C8 fatty acids in Sprague-Dawley rat colonocytes. Gut. 1997;40:400\u20135.","journal-title":"Gut"},{"key":"490_CR23","doi-asserted-by":"publisher","first-page":"88","DOI":"10.1016\/j.clnu.2008.11.002","volume":"28","author":"HM Hamer","year":"2009","unstructured":"Hamer HM, Jonkers DM, Bast A, Vanhoutvin SA, Fischer MA, Kodde A, et al. Butyrate modulates oxidative stress in the colonic mucosa of healthy humans. Clin Nutr. 2009;28:88\u201393.","journal-title":"Clin Nutr"},{"key":"490_CR24","doi-asserted-by":"publisher","first-page":"e6759","DOI":"10.1371\/journal.pone.0006759","volume":"4","author":"SA Vanhoutvin","year":"2009","unstructured":"Vanhoutvin SA, Troost FJ, Hamer HM, Lindsey PJ, Koek GH, Jonkers DM, et al. Butyrate-induced transcriptional changes in human colonic mucosa. PLoS One. 2009;4:e6759.","journal-title":"PLoS One"},{"key":"490_CR25","doi-asserted-by":"publisher","first-page":"4278","DOI":"10.3748\/wjg.v18.i32.4278","volume":"18","author":"RG Pacheco","year":"2012","unstructured":"Pacheco RG, Esposito CC, Muller LC, Castero-Branco MT, Quintella LP, Chagas VL, et al. Use of butyrate or glutamine in enema solution reduces inflammation and fibrosis in experimental diversion colitis. World J Gastoenterol. 2012;18:4278\u201387.","journal-title":"World J Gastoenterol"},{"key":"490_CR26","doi-asserted-by":"publisher","first-page":"591","DOI":"10.1111\/j.1365-2796.2008.01953.x","volume":"263","author":"I Atreya","year":"2008","unstructured":"Atreya I, Atreya R, Neurath MF. NF-kappaB in inflammatory bowel disease. J Intern Med. 2008;263:591\u20136.","journal-title":"J Intern Med"},{"key":"490_CR27","doi-asserted-by":"publisher","first-page":"495","DOI":"10.1146\/annurev.immunol.20.100301.064816","volume":"20","author":"W Strober","year":"2002","unstructured":"Strober W, Fuss IJ, Blumberg RS. The immunology of mucosal models of inflammation. Annu Rev Immunol. 2002;20:495\u2013549.","journal-title":"Annu Rev Immunol"},{"key":"490_CR28","doi-asserted-by":"publisher","first-page":"327","DOI":"10.1111\/j.1751-2980.2011.00525.x","volume":"12","author":"YJ Feng","year":"2011","unstructured":"Feng YJ, Li YY. The role of p38 mitogen-activated protein kinase in the pathogenesis of inflammatory bowel disease. J Dig Dis. 2011;12:327\u201332.","journal-title":"J Dig Dis"},{"key":"490_CR29","doi-asserted-by":"publisher","first-page":"211","DOI":"10.1016\/0046-8177(93)90303-X","volume":"24","author":"S Haque","year":"1993","unstructured":"Haque S, Eisen RN, West AB. The morphologic features of diversion colitis: studies of a pediatric population with no other disease of the intestinal mucosa. Hum Pathol. 1993;24:211\u20139.","journal-title":"Hum Pathol"},{"key":"490_CR30","doi-asserted-by":"publisher","first-page":"55","DOI":"10.1111\/j.1365-2559.1991.tb00894.x","volume":"19","author":"ML Yeong","year":"1991","unstructured":"Yeong ML, Bethwaite PB, Prasad J, Isbister WH. Lymphoid follicular hyperplasia\u2014a distinctive feature of diversion colitis. Hitopathology. 1991;19:55\u201361.","journal-title":"Hitopathology"},{"key":"490_CR31","doi-asserted-by":"publisher","first-page":"47","DOI":"10.1055\/s-2007-970200","volume":"20","author":"AJ Thorsen","year":"2007","unstructured":"Thorsen AJ. Noninfectious colitides: collagenous colitis, lymphocytic colitis, diversion colitis, and chemically induced colitis. Clin Colon Rectal Surg. 2007;20:47\u201357.","journal-title":"Clin Colon Rectal Surg"},{"key":"490_CR32","doi-asserted-by":"publisher","first-page":"279","DOI":"10.1136\/gut.44.2.279","volume":"44","author":"AG Lim","year":"1999","unstructured":"Lim AG, Langmead FL, Feakins RM, RAmpton DS. Diversion colitis: a trigger for ulcerative colitis in the in-stream colon? Gut. 1999;44:279\u201382.","journal-title":"Gut"}],"container-title":["Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-018-0490-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/s40792-018-0490-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-018-0490-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,8,1]],"date-time":"2019-08-01T19:06:18Z","timestamp":1564686378000},"score":1,"resource":{"primary":{"URL":"https:\/\/surgicalcasereports.springeropen.com\/articles\/10.1186\/s40792-018-0490-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,8,2]]},"references-count":32,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2018,12]]}},"alternative-id":["490"],"URL":"https:\/\/doi.org\/10.1186\/s40792-018-0490-8","relation":{},"ISSN":["2198-7793"],"issn-type":[{"value":"2198-7793","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,8,2]]},"assertion":[{"value":"15 July 2018","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 July 2018","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 August 2018","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The institutional ethics committee determined that approval was not necessary for a case report.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written consent for the publication of this case report with accompanying images was obtained from the patient. The consent form will be provided to the editors of this journal on request.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Publisher\u2019s Note"}}],"article-number":"86"}}