Approach to management of symptomatic adult patients with diversion colitis

SCFA: short-chain fatty acid; ASA: aminosalicylic acid; FMT: fecal microbiota transplant.

* In patients with a partial response, extend treatment for an additional 4 to 8 weeks and reassess response.

¶ In patients with no response, 5-ASA and SCFA enemas can be discontinued.

Δ Type of operation is based on the affected segment and may include completion colectomy, proctectomy, and/or pouch excision.