Reflections on ten years' experience in the treatment of hemorrhagic colorectitis and Crohn's disease
Sebastiani, M.; Beluffi, L.; Lungarotti, F.; Sensini, A.
Chirurgia Italiana 30(6): 765-772
1978
ISSN/ISBN: 0009-4773 PMID: 38014 Document Number: 131433
The authors offer a critical review of eight cases of hemorrhagic colorectitis and Crohn's disease (regional ileitis) managed with medical treatments, and eleven like cases treated surgically, during the last ten years. After a discussion of the resources and limitations of medical therapy, the authors describe the various surgical strategies adopted in their cases; they define the possibility of obtaining final cures in Crohn's disease with extended ileocolectomy; and concerning ulcerative forms, they point out the greater efficacy of surgical procedures involving sacrifice of the rectum compared to those in which the terminal segment of the gut is used immediately or later for restoring continuity of the intestinal canal.