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For emergency indications, the first stage of a 2-stage procedure involves resection of the diseased segment and creation of an end colostomy with oversewing of the distal colonic or rectal stump (Hartmann procedure)

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It may be possible to treat the underlying disease by surgical correction of anatomic lesions leading to small bowel bacterial overgrowth, expulsion of fish tapeworm, discontinuation of drugs leading to vitamin malabsorption (see Drug/Laboratory Test Interactions), use of a gluten free diet in nontropical sprue, or administration of antibiotics in tropical sprue

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