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Recurrent regional ileitis after ileostomy and colectomy for granulomatous colitis.

Abstract In 31 patients clinical, radiographic and pathological evidence of recurrent regional enteritis developed after ileostomy and colectomy for granulomatous colitis (Crohn's disease of the colon). These represent at least 46 per cent of all cases of granulomatous colitis treated by ileostomy and colectomy at our institution. Eight required multiple operations, and six had severe nutritional deficits. This high rate of recurrent disease and its frequently serious clinical course contrast with recent claims that such consequences are infrequent. Our observations further underline the need for continued separation of the varieties of inflammatory bowel diseases.