Post-colectomy enteritis—a rare complication in a patient with ulcerative colitis

Colectomy is the surgical treatment of choice in patients with severe or complicated ulcerative colitis. Post-colectomy enteritis (PCE) is a rare condition that can develop after proctocolectomy and has been described only in a few individual cases so far. We report the case of a 46-year-old patient...

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Main Authors: Julia Wanzl, Sandra Nagl, Alanna Ebigbo, Lena Anthuber, Florian Sommer, Michael Hoffmann, David Rafael Marques Pinto, Dmytro Vlasenko, Irene Kleinlein, Elisabeth Schnoy
Format: Article
Language:English
Published: SAGE Publishing 2025-01-01
Series:Therapeutic Advances in Gastroenterology
Online Access:https://doi.org/10.1177/17562848241309864
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author Julia Wanzl
Sandra Nagl
Alanna Ebigbo
Lena Anthuber
Florian Sommer
Michael Hoffmann
David Rafael Marques Pinto
Dmytro Vlasenko
Irene Kleinlein
Elisabeth Schnoy
author_facet Julia Wanzl
Sandra Nagl
Alanna Ebigbo
Lena Anthuber
Florian Sommer
Michael Hoffmann
David Rafael Marques Pinto
Dmytro Vlasenko
Irene Kleinlein
Elisabeth Schnoy
author_sort Julia Wanzl
collection DOAJ
description Colectomy is the surgical treatment of choice in patients with severe or complicated ulcerative colitis. Post-colectomy enteritis (PCE) is a rare condition that can develop after proctocolectomy and has been described only in a few individual cases so far. We report the case of a 46-year-old patient with severe and treatment-refractory ulcerative colitis who underwent colectomy. A few days after surgery, the patient presented with acute anemia and hematemesis. Esophagogastroduodenoscopy showed massive inflammation of the duodenum and jejunum. The life-threateningly ill patient was admitted to the intensive-care unit and treated for severe PCE with ciclosporin and corticosteroids. PCE is a distinct inflammation of the small intestine shortly after colectomy. The patient recovered fully and was discharged after prolonged recovery and long-term intensive care therapy.
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series Therapeutic Advances in Gastroenterology
spelling doaj-art-5d58d19e783d4dbc9be950eafef565d52025-01-23T06:03:27ZengSAGE PublishingTherapeutic Advances in Gastroenterology1756-28482025-01-011810.1177/17562848241309864Post-colectomy enteritis—a rare complication in a patient with ulcerative colitisJulia WanzlSandra NaglAlanna EbigboLena AnthuberFlorian SommerMichael HoffmannDavid Rafael Marques PintoDmytro VlasenkoIrene KleinleinElisabeth SchnoyColectomy is the surgical treatment of choice in patients with severe or complicated ulcerative colitis. Post-colectomy enteritis (PCE) is a rare condition that can develop after proctocolectomy and has been described only in a few individual cases so far. We report the case of a 46-year-old patient with severe and treatment-refractory ulcerative colitis who underwent colectomy. A few days after surgery, the patient presented with acute anemia and hematemesis. Esophagogastroduodenoscopy showed massive inflammation of the duodenum and jejunum. The life-threateningly ill patient was admitted to the intensive-care unit and treated for severe PCE with ciclosporin and corticosteroids. PCE is a distinct inflammation of the small intestine shortly after colectomy. The patient recovered fully and was discharged after prolonged recovery and long-term intensive care therapy.https://doi.org/10.1177/17562848241309864
spellingShingle Julia Wanzl
Sandra Nagl
Alanna Ebigbo
Lena Anthuber
Florian Sommer
Michael Hoffmann
David Rafael Marques Pinto
Dmytro Vlasenko
Irene Kleinlein
Elisabeth Schnoy
Post-colectomy enteritis—a rare complication in a patient with ulcerative colitis
Therapeutic Advances in Gastroenterology
title Post-colectomy enteritis—a rare complication in a patient with ulcerative colitis
title_full Post-colectomy enteritis—a rare complication in a patient with ulcerative colitis
title_fullStr Post-colectomy enteritis—a rare complication in a patient with ulcerative colitis
title_full_unstemmed Post-colectomy enteritis—a rare complication in a patient with ulcerative colitis
title_short Post-colectomy enteritis—a rare complication in a patient with ulcerative colitis
title_sort post colectomy enteritis a rare complication in a patient with ulcerative colitis
url https://doi.org/10.1177/17562848241309864
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