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Diverting Ileostomy or Colostomy in the Management of Crohn's Disease of the Colon

Diverting Ileostomy or Colostomy in the Management of Crohn's Disease of the Colon Abstract Thirteen patients who had Crohn's disease of the colon and rectum were treated surgically by a diverting colostomy or ileostomy. Primary indications for surgery were severe perianal complications in eight patients, retardation of growth and development in two, and failure of medical management to effect a satisfactory remission in three. Improvement in clinical condition has occurred in all patients, but four have subsequently undergone proctocolectomy because perirectal complications, particularly perianal and rectovaginal fistulas, persisted or worsened. Two patients have had intestinal continuity reestablished by closure of colostomy. One has had recurrence which required further surgery, and the other one has remained well. In the remaining seven patients the symptoms and signs of Crohn's disease have not subsided completely. References 1. Kivel RM, Taylor KB, Oberhelman HH Jr: Response to bypass ileostomy in ulcerative colitis and Crohn's disease of the colon . Lancet 2:632-636, 1967.Crossref 2. Crohn BB, Ginzburg L, Oppenheimer GD: Regional ileitis: A pathologic and clinical entity . JAMA 99:1323-1329, 1932.Crossref 3. Colp R: A case of nonspecific granuloma of terminal ileum and the cecum . Surg Clin N Amer 14:443-449, 1934. 4. Brooke BN: Granulomatous diseases of the intestine . Lancet 2:745-749, 1959.Crossref 5. Lockhart-Mummery HE, Morson BC: Crohn's disease (regional enteritis) of the large intestine and its distinction from ulcerative colitis . Gut 1:87-105, 1960.Crossref 6. Wells C: Ulcerative colitis and Crohn's disease . Ann Roy Coll Surg Eng 11:105-120, 1952. 7. Oberhelman HA Jr, Kohatsu S, Taylor KB, et al: Diverting ileostomy in the surgical management of Crohn's disease of the colon . Amer J Surg 115:231-240, 1968.Crossref 8. Truelove SC, Ellis H, Webster CU: Place of a double-barrelled ileostomy in ulcerative colitis and Crohn's disease of the colon: A preliminary report . Brit Med J 1:150-153, 1965.Crossref 9. Jones JH, Lennard-Jones JE, Lockhart-Mummery HE: Experience in the treatment of Crohn's disease of the large intestine . Gut 7:448-452, 1966.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Diverting Ileostomy or Colostomy in the Management of Crohn's Disease of the Colon

McIlrath, Donald C.
Archives of Surgery , Volume 103 (2) – Aug 1, 1971
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References (9)

Publisher
American Medical Association
Copyright
Copyright © 1971 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1971.01350080224035
Publisher site
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Abstract

Abstract Thirteen patients who had Crohn's disease of the colon and rectum were treated surgically by a diverting colostomy or ileostomy. Primary indications for surgery were severe perianal complications in eight patients, retardation of growth and development in two, and failure of medical management to effect a satisfactory remission in three. Improvement in clinical condition has occurred in all patients, but four have subsequently undergone proctocolectomy because perirectal complications, particularly perianal and rectovaginal fistulas, persisted or worsened. Two patients have had intestinal continuity reestablished by closure of colostomy. One has had recurrence which required further surgery, and the other one has remained well. In the remaining seven patients the symptoms and signs of Crohn's disease have not subsided completely. References 1. Kivel RM, Taylor KB, Oberhelman HH Jr: Response to bypass ileostomy in ulcerative colitis and Crohn's disease of the colon . Lancet 2:632-636, 1967.Crossref 2. Crohn BB, Ginzburg L, Oppenheimer GD: Regional ileitis: A pathologic and clinical entity . JAMA 99:1323-1329, 1932.Crossref 3. Colp R: A case of nonspecific granuloma of terminal ileum and the cecum . Surg Clin N Amer 14:443-449, 1934. 4. Brooke BN: Granulomatous diseases of the intestine . Lancet 2:745-749, 1959.Crossref 5. Lockhart-Mummery HE, Morson BC: Crohn's disease (regional enteritis) of the large intestine and its distinction from ulcerative colitis . Gut 1:87-105, 1960.Crossref 6. Wells C: Ulcerative colitis and Crohn's disease . Ann Roy Coll Surg Eng 11:105-120, 1952. 7. Oberhelman HA Jr, Kohatsu S, Taylor KB, et al: Diverting ileostomy in the surgical management of Crohn's disease of the colon . Amer J Surg 115:231-240, 1968.Crossref 8. Truelove SC, Ellis H, Webster CU: Place of a double-barrelled ileostomy in ulcerative colitis and Crohn's disease of the colon: A preliminary report . Brit Med J 1:150-153, 1965.Crossref 9. Jones JH, Lennard-Jones JE, Lockhart-Mummery HE: Experience in the treatment of Crohn's disease of the large intestine . Gut 7:448-452, 1966.Crossref

Journal

Archives of Surgery – American Medical Association

Published: Aug 1, 1971

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