Summary
A review of the significant contributions to the literature on the surgical management of regional enteritis has been made.
Eight cases from the experience with this disease at the Meriden Hospital and from the author's experience have been presented from the standpoint of their surgical management and the results.
An analysis of the claims made for the greater efficacy of any particular surgical procedure in the treatment of this disease over any other does not show them to be fully justified by the results presented.
The burden of opinion is against appendectomy and/or drainage of the peritoneal cavity in acute regional enteritis.
The procedure yielding the poorest results appears to be ileocolostomy without transection of the ileum. Sufficient emphasis has not been placed on the psychosomatic aspects of this disease and the necessity for mental, physical, social and economic rehabilitation of the patient following surgery.
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The author wishes to express his appreciation to Drs. M. J. Conroy, E. W. Foster and D. P. Smith for their permission to report several eases.
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Ryan, A.J. The surgical treatment of regional enteritis. Amer. Jour. Dig. Dis. 18, 130–137 (1951). https://doi.org/10.1007/BF02891760
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DOI: https://doi.org/10.1007/BF02891760