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Management of Chronic Idiopathic Ulcerative Colitis in Children

Management of Chronic Idiopathic Ulcerative Colitis in Children Abstract HELMHOLZ first reported in 1923 the occurrence of chronic ulcerative colitis in children.4 In this report the author contrasted the results of medical and surgical therapy and strongly urged operative treatment in those cases failing to improve after six to eight weeks of medical management. Since then, numerous reports of chronic ulcerative colitis in children have appeared and these have increased in frequency in recent years.1,2,5,6,8,9 In general most of these communications have documented the seriousness of the disease but overall management of the afflicted child has not changed appreciably since the time of Helmholz. The purpose of this communication is to present some of the clinical and pathological characteristics of chronic idiopathic ulcerative colitis as it occurs in children and to detail a combined clinical approach undertaken 3½ years ago by members of the departments of surgery, pediatrics, and psychiatry at the University of Michigan Medical Center, References 1. Benson, R.E., and Bargan, J.A.: Chronic Ulcerative Colitis as a Cause of Retarded Sexual and Somatic Development , Gastroenterology 1:147, 1943. 2. Davidson, S.: Infantilism in Ulcerative Colitis , Arch Intern Med 64:1187, 1939.Crossref 3. Ehrenpreis, T., and Ericsson, N.O.: Surgical Treatment of Ulcerative Colitis in Childhood , Surg Clin N Amer 44:1521, 1964. 4. Helmholz, H.F.: Chronic Ulcerative Colitis in Childhood , Amer J Dis Child 26:418, 1923. 5. King, R.C.; Linder, A.E.; and Pollard, H.M.: Chronic Ulcerative Colitis in Childhood , Arch Dis Child 34:257, 1959.Crossref 6. Lyons, A.S., and Baronofsky, I.D.: Surgical Treatment of Ulcerative Colitis in Pubertal Years , Surg Clin N Amer 40:999, 1960. 7. McDermott, J.F., and Finch, S.M.: Ulcerative Colitis; Physician Teamwork in Treatment , Clin Pediat 3:75, 1964.Crossref 8. Michener, W.M., et al: Prognosis of Chronic Ulcerative Colitis in Children , New Eng J Med 265:1075, 1961.Crossref 9. Michener, W., and Turnbull, R.B.: Surgical Treatment of Chronic Ulcerative Colitis in Children, Cleveland , Clin Quart 30:81, 1963.Crossref 10. Rosenqvist, H., et al: Ulcerative Colitis and Carcinoma Coli , Lancet 1:906, 1959.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Management of Chronic Idiopathic Ulcerative Colitis in Children

Archives of Surgery , Volume 91 (2) – Aug 1, 1965

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Publisher
American Medical Association
Copyright
Copyright © 1965 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1965.01320140111015
Publisher site
See Article on Publisher Site

Abstract

Abstract HELMHOLZ first reported in 1923 the occurrence of chronic ulcerative colitis in children.4 In this report the author contrasted the results of medical and surgical therapy and strongly urged operative treatment in those cases failing to improve after six to eight weeks of medical management. Since then, numerous reports of chronic ulcerative colitis in children have appeared and these have increased in frequency in recent years.1,2,5,6,8,9 In general most of these communications have documented the seriousness of the disease but overall management of the afflicted child has not changed appreciably since the time of Helmholz. The purpose of this communication is to present some of the clinical and pathological characteristics of chronic idiopathic ulcerative colitis as it occurs in children and to detail a combined clinical approach undertaken 3½ years ago by members of the departments of surgery, pediatrics, and psychiatry at the University of Michigan Medical Center, References 1. Benson, R.E., and Bargan, J.A.: Chronic Ulcerative Colitis as a Cause of Retarded Sexual and Somatic Development , Gastroenterology 1:147, 1943. 2. Davidson, S.: Infantilism in Ulcerative Colitis , Arch Intern Med 64:1187, 1939.Crossref 3. Ehrenpreis, T., and Ericsson, N.O.: Surgical Treatment of Ulcerative Colitis in Childhood , Surg Clin N Amer 44:1521, 1964. 4. Helmholz, H.F.: Chronic Ulcerative Colitis in Childhood , Amer J Dis Child 26:418, 1923. 5. King, R.C.; Linder, A.E.; and Pollard, H.M.: Chronic Ulcerative Colitis in Childhood , Arch Dis Child 34:257, 1959.Crossref 6. Lyons, A.S., and Baronofsky, I.D.: Surgical Treatment of Ulcerative Colitis in Pubertal Years , Surg Clin N Amer 40:999, 1960. 7. McDermott, J.F., and Finch, S.M.: Ulcerative Colitis; Physician Teamwork in Treatment , Clin Pediat 3:75, 1964.Crossref 8. Michener, W.M., et al: Prognosis of Chronic Ulcerative Colitis in Children , New Eng J Med 265:1075, 1961.Crossref 9. Michener, W., and Turnbull, R.B.: Surgical Treatment of Chronic Ulcerative Colitis in Children, Cleveland , Clin Quart 30:81, 1963.Crossref 10. Rosenqvist, H., et al: Ulcerative Colitis and Carcinoma Coli , Lancet 1:906, 1959.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Aug 1, 1965

References