This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.
To the Editor.—The elemental diet, now finding widespread clinical use, was developed to reduce fecal volume from astronauts ("space diet") on prolonged voyages. A diverting colostomy is used to reduce exposure of an area of reconstruction or inflammation or both to the fecal stream. We successfully treated a patient with refractory diverticulitis with use of an elemental diet over the course of a month, a "physiological colostomy," as an alternative to surgery.
Report of a Case
A 54-year-old white man was seen with a four-week history of crampy pain in the lower part of the abdomen. This was associated with blood- and mucous-tinged diarrhea. There was no weight loss. He was allergic to tetracyclines.The patient had diffuse lower abdominal tenderness, maximum on the left, without evidence of peritonitis or intra-abdominal masses. He had a mild temperature elevation, 37.3 C (oral). His hemogram showed a similar inflammatory response, with
Moss G. Physiological Colostomy. Arch Surg. 1973;106(5):741. doi:10.1001/archsurg.1973.01350170101031