Temporary Fecal Diversion in the Management of Colorectal and Perianal Crohn’s Disease
Table 2
Outcome of fecal diversion for different indications.
Indication for fecal diversion
Patient number
Response to fecal diversion
Stoma reversal
Success (no further surgical therapy required)
Surgical therapy after stoma reversal
Complete remission
Partial remission
No change
Progress
Colorectal resections
Definitive stoma
Resection of ileum
Surgery for perianal CD
Perianal CD only
12/29 (41.4%)
3/12 (25.0%)
4/12 (33.3%)
4/12 (33.3%)
1/12 (8.3%)
8/10 (80.0%)
1/10 (10.0%)
4/8 (50.0%)
2/8 (25.0%)
0/8 (0.0%)
3/8 (37.5%)
Colitis only
6/29 (20.7%)
0/6 (0.0%)
3/6 (50.0%)
0/6 (0.0%)
3/6 (50.0%)
3/6 (50.0%)
0/6 (0.0%)
2/3 (66.7%)
3/3 (100.0%)
2/3 (66.7%)
1/3 (33.3%)
Ileitis only
1/29 (3.4%)
0/1 (0.0%)
1/1 (100.0%)
0/1 (0.0%)
0/1 (0.0%)
1/1 (100.0%)
1/1 (100.0%)
0/1 (0.0%)
0/1 (0.0%)
0/1 (0.0%)
0/1 (0.0%)
Colitis + perianal CD
7/29 (24.1%)
1/7 (14.3%)
3/7 (42.9%)
1/7 (14.3%)
2/7 (28.6%)
5/6 (83.3%)
2/6 (33.3%)
3/5 (60.0%)
2/5 (40.0%)
0/5 (0.0%)
1/5 (20.0%)
Ileitis + perianal CD
2/29 (6.9%)
0/2 (0.0%)
1/2 (50.0%)
1/2 (50.0%)
0/2 (0.0%)
1/1 (100.0%)
0/1 (0.0%)
0/1 (0.0%)
0/1 (0.0%)
1/1 (100.0%)
0/1 (0.0%)
Colitis + ileitis + perianal CD
1/29 (3.4%)
0/1 (0.0%)
0/1 (0.0%)
1/1 (100.0%)
0/1 (0.0%)
1/1 (100.0%)
0/1 (0.0%)
1/1 (100.0%)
0/1 (0.0%)
0/1 (0.0%)
0/1 (0.0%)
Total
29 (100%)
4/29 (13.8%)
12/29 (41.4%)
7/29 (24.1%)
6/29 (20.7%)
19/25
4/25
10/19
7/19
3/19
5/19
Indications (including combinations of indications) for stoma creation are listed. For each indication, response to diversion, rate of stoma reversal, and outcome are reported.
aDue to missing follow-up data of 4 patients, only 25 patients were available for the criterion “stoma reversal.”
bThe total success rate is related to all patients with sufficient follow-up (, including patients in whom the stoma was not reversed).
cThe sum of percentages of definitive surgical therapies exceeds 100%, as patients frequently had more than one type of surgery. CD: Crohn’s disease.
