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Abstract
Diverting ileostomy has been performed in thirteen patients with Crohn's disease of
the colon with or without ileal involvement. Immediate and persistent relief of symptoms
has occurred in all patients in three to twenty-four months (mean sixteen months)
without evidence of recurrence. Radiologic as well as histologic findings have shown
a return towards normal. Three patients have undergone restoration of intestinal continuity
after two years. A mild recurrence developed in one patient which was controlled by
corticosteroids whereas the other two remain well after two and thirty-six months.
The results of diverting ileostomy have been unsuccessful in cases of chronic ulcerative
colitis, further serving to illuminate fundamental differences in addition to clinical
and histologic differences between these two inflammatory conditions. Further experience
with this mode of therapy is justified.
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References
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Article info
Footnotes
☆This work was supported by Public Health Service Grant FR-70 from General Clinical Research Center Grant, Division of Research Facilities and Resources.
☆☆Presented at the Eighth Annual Meeting of the Society for Surgery of the Alimentary Tract, Atlantic City, New Jersey, June 17 and 18, 1967.
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Copyright
© 1968 Published by Elsevier Inc.
