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December 16, 1944

INFLAMMATORY LESIONS OF THE COLONSURGICAL ASPECT

Author Affiliations

CLEVELAND

From the Cleveland Clinic.

JAMA. 1944;126(16):1013-1016. doi:10.1001/jama.1944.02850510021005
Abstract

The generally recognized inflammatory diseases of the colon are appendicitis, tuberculosis, actinomycosis, radiation stricture, lymphogranuloma, chronic ulcerative colitis and diverticulitis. Obviously it is impossible to discuss all of these in any great detail in this short time. Therefore most of the time will be utilized in discussion of the more difficult and distressing ones, namely chronic ulcerative colitis and acute and chronic diverticulitis.

Appendicitis is the most common inflammatory disease of the colon. Certainly, every one agrees that the treatment is surgical—the earlier the better. The optimum time for operation in the delayed case depends on the judgment of the individual surgeon. Yet two things are quite apparent in spite of constant teaching: 1. The diagnosis is not made early enough. 2. The mortality is still too high, chiefly because of delayed recognition. Throughout the United States the mortality is quoted as being between 4.5 and 5 per cent. There

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