Điều trị là phụ thuộc về phòng, chống impaction (Hình 49,19). Các đồ tạo tác chuẩn bị chuẩn bị cho nội soi đại tràng có thể gây ra những thay đổi niêm mạc trực tràng có thể bị nhầm lẫn với IBD. Họ không phải là dễ vỡ, và thoái trong vòng ngày kể từ ngày thủ tục (Hình 49,20). | Chapter 49 Infections and Other Noninflammatory-Bowel-Disease Colitides 593 Fig. Angioectasias of radiation proctopathy over the prostate gland. Courtesy of David M. Martin MD Atlas of Gastrointestinal Endoscopy . Fig. Typical red-ring signs of a phospho-soda prep. as seen in the rectum. Courtesy of David M. Martin MD Atlas of Gastrointestinal Endoscopy . Fig. Stercoral ulcer due to fecal impaction. large. Therapy is dependent on prevention of impaction Fig. . Preparation artifacts The preparation for colonoscopy can induce mucosal changes in the rectum which could be mistaken for IBD. They are not friable and regress within days of the procedure Fig. . References 1 Reinus JF Brandt LJ. Diarrhea. In Raskin JB Nord HJ eds. Colonoscopy Principles and Techniques. New York Igaku-Shoin 1995 241-63. 2 Nostrant TT Kumar NB Appelman HD. Histopathology differentiates acute self-limited colitis from ulcerative colitis. Gastroenterology 1987 92 318-28. 3 Surawicz CM Haggitt RC Husseman M McFarland LV. Mucosal biopsy diagnosis of colitis acute self-limited colitis and idiopathic inflammatory bowel disease. Gastroenterology 1994 107 755-63. 4 Cohen MB Giannella RA. Bacterial infections. pathophysiology clinical features and treatment. In Phillips SF Pemberton JH Shorter RG eds. The Large Intestine Physiology Pathophysiology and Disease. New York Raven 1991 395-428. 5 Maguire TM Wensel RH Malcolm N et al. Massive gastrointestinal hemorrhage cecal ulcers and salmonella colitis. J Clin Gastroenterol 1985 7 249-50. 6 Wolf DC Gianella RA. Antibiotic therapy for bacterial enterocolitis a comprehensive review. Am J Gastroenterol 1993 88 1667-83. 7 Levine MM DuPont HL Formal SB et al. Pathogenesis of Shigella dysenteriae I Shiga dysentery. J Infect Dis 1973 127 261-70. 8 Rout WR Formal SB Giannella RA Dammin GJ. Pathophysiology of Shigella diarrhea in the rhesus monkey intestinal transport morphological and bacteriological
