Bloody diarrhoea in a hunger striker: starvation colitis

Postmortem examination of three prisoners who had died during a hunger strike in Turkey in 2000 showed they had had haemorrhagic gastroenteropathy.2 We first suspected inflammatory bowel disease in our patient and suggested treatment with intravenous steroids. Oral supplementation with medium-chain...

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Bibliographic Details
Published in:The Lancet (British edition) 2015-04, Vol.385 (9978), p.1696-1696
Main Authors: Malnick, Stephen, Dr, Abdul-Hai, Ali, PhD, Abdullah, Ali, MD, Gharaba, Yazid, MD, Brand, Avital, MPH, Basevitz, Alon, MD, Alin, Pavel, MD, Binder, Yuval, MD, Raz, Ofer, MD, Melzer, Ehud, MD, Ziv-Sokolowski, Nadia, MD, Somin, Marina, MD
Format: Article
Language:English
Subjects:
Adult
Colitis - diagnosis
Colitis - etiology
Colitis - pathology
Colon
Diarrhea
Diarrhea - etiology
Fatty acids
Hemorrhage - etiology
Humans
Hunger
Hunger strikes
Internal Medicine
Male
Starvation
Starvation - complications
Starvation - physiopathology
Triglycerides - administration & dosage
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Summary:Postmortem examination of three prisoners who had died during a hunger strike in Turkey in 2000 showed they had had haemorrhagic gastroenteropathy.2 We first suspected inflammatory bowel disease in our patient and suggested treatment with intravenous steroids. Oral supplementation with medium-chain triglycerides provides the colon with short-chain fatty acids in a similar way to the treatment of diversion colitis5 with short-chain fatty acid enemas.
ISSN:0140-6736
1474-547X
DOI:10.1016/S0140-6736(15)60309-9