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Article1 September 1958REGIONAL ENTERITIS. II. RESULTS OF MEDICAL AND SURGICAL TREATMENT IN 100 PATIENTSCHARLES H. BROWN, M.D., F.A.C.P., JOHN E. DAFFNER, M.D.CHARLES H. BROWN, M.D., F.A.C.P.Search for more papers by this author, JOHN E. DAFFNER, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-49-3-595 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe nature and etiology of regional enteritis are obscure. Because some patients have repeated recurrences, with multiple "skip" lesions and extensive involvement of the small intestine, physicians generally are pessimistic concerning long-term results of treatment of the disease.There are uncertainties about the effectiveness of medical treatment, little having been published on this form of treatment, and there is disagreement about the preferred surgical treatment of the disease. Some surgeons recommend a side-tracking operation with exclusion (ileotransverse colostomy with transection of the ileum), and others recommend resection of the diseased intestine; however, over-all results of the two procedures have been...Bibliography1. MeyersRubleAshley SGPELB(a) : Clinical course of regional enteritis, personal communication, presented at the American Gastroenterology Association meeting, Colorado Springs, May 17-18, 1957. (b) Ruble, P. E., Meyers, S. G., and Ashley, L. B.: Regional enteritis, Harper Hosp. Bull. 15: 142-150 (July-Aug.) 1957. Google Scholar2. BrownCrile CHG: Treatment of ulcerative colitis, GP 6: 35-41, 1952. MedlineGoogle Scholar3. Brown CH: Treatment of acute and chronic ulcerative colitis, Am. Pract. and Digest of Treatment 9: 405-411 (March) 1958. MedlineGoogle Scholar4. Crohn BB: Regional enteritis, in Current therapy, 1955, W. B. Saunders Co., Philadelphia, pp. 227-228. Google Scholar5. Kirsner JB: Enteritis, regional, in Current Therapy, 1956, W. B. Saunders Co., Philadelphia, pp. 190-193. Google Scholar6. RossmillerBrownEcker HRCHJA: Effect of ACTH on nonspecific ulcerative colitis, Gastroenterology 17: 25-27 (Jan.) 1951. CrossrefMedlineGoogle Scholar7. GrayReifensteinBensonYoung SJRWJAJC: Treatment of ulcerative colitis and regional enteritis with ACTH; significance of fecal lysozyme, Arch. Int. Med. 87: 646-662 (May) 1951. CrossrefGoogle Scholar8. MachellaHollan TEOR: Effect of cortisone on clinical course of chronic regional enteritis and chronic idiopathic ulcerative colitis, Am. J. M. Sc. 221: 501-507 (May) 1951. CrossrefMedlineGoogle Scholar9. Redish WH: Failure of cortisone in regional enteritis, chronic ulcerative disease of small bowel, Gastroenterology 18: 179-183 (June) 1951. CrossrefMedlineGoogle Scholar10. SauerBrownDearing WGPWWH: Experiences with use of corticotropin in regional enteritis, Gastroenterology 22: 550-563 (Dec.) 1952. CrossrefMedlineGoogle Scholar11. KirsnerPalmerKlotz JBWLAP: ACTH in severe chronic regional enteritis: observations in 4 patients, Gastroenterology 20: 229-233 (Feb.) 1952. CrossrefMedlineGoogle Scholar12. Crohn BB: Regional enteritis, Maryland M. J. 3: 537-546 (Oct.) 1954. MedlineGoogle Scholar13. SauerBrownDearing WGPWWH: Experience with use of corticotropin in regional enteritis, Gastroenterology 22: 550-563 (Dec.) 1952. CrossrefMedlineGoogle Scholar14. CrohnJanowitz BAHD: Reflections on regional ileitis, 20 years later, J. A. M. A. 156: 1221-1225 (Nov. 27) 1954. CrossrefMedlineGoogle Scholar15. Willard JH: Regional enteritis, in Current therapy, 1955, W. B. Saunders Co., Philadelphia, pp. 228-230. Google Scholar16. Crohn BB: Regional ileitis, 1949, Grune & Stratton, New York, p. 229. Google Scholar17. PoppBargenDixon WCJACF: Regional enteritis: roentgen therapy, Proc. Staff Meet., Mayo Clin. 25: 1-5 (Jan. 4) 1950. MedlineGoogle Scholar18. Van PatterBargenDockertyFeldmanMayoWaugh WNJAMBWHCWJM: Regional enteritis, Gastroenterology 26: 347, 1954. CrossrefMedlineGoogle Scholar19. SauerEnsrud WGER: Personal communication, May 29, 1957. Google Scholar20. Kiefer ED: Recurrent regional ileitis, Lahey Clin. Bull. 8: 149-156 (July) 1953. MedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Cleveland, Ohio*Received for publication September 3, 1957.From the Department of Gastroenterology, The Cleveland Clinic Foundation, and The Frank E. Bunts Educational Institute, Cleveland, Ohio.Requests for reprints should be addressed to Charles H. Brown, M.D., Department of Gastroenterology, Cleveland Clinic, 2020 East Ninety-third Street, Cleveland 6, Ohio. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited bySURGICAL TREATMENT OF SMALL BOWEL CROHN'S DISEASESurgical resection of recurrent Crohn's diseaseQuality of life after surgery for Crohn's disease: A psychosocial surveySurgical Management of Regional EnteritisEarly or Late Operation in the Treatment of Crohn's DiseaseThe place of surgery in Crohn's disease.Morbidity and mortality in regional enteritisPrognosis after resection of chronic regional ileitis.Regional Enteritis in AdolescenceSystemic Amyloidosis and Ulcerative ColitisProphylaxis in patients receiving adrenal steroid therapyPrognosis in Acute and Chronic Regional EnteritisAbdominal SurgerySurgical Treatment of Regional Enteritis 1 September 1958Volume 49, Issue 3Page: 595-606KeywordsColostomyEnteritisEtiologyFistulasIleumLesionsPatientsSmall intestineSteroid therapySurgeons ePublished: 1 December 2008 Issue Published: 1 September 1958 PDF downloadLoading ...

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