Abstract
Two cases of regional ileitis in which the patients were treated by extensive resections of small bowel and colon are described. In both cases the postoperative variations in the hematocrit, blood chlorides and serum protein were extremely difficult to control. Relaxation of the vigilance required may result in the appearance of typical surgical shock as late as the twenty-ninth postoperative day or, indeed, until the ileocolostomy is closed. A constant check of the water and electrolyte balance by laboratory methods is necessary to anticipate and control such variations by prompt administration of whole blood or plasma, before critical levels are attained.
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