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January 7, 1950

Regional lleitis

JAMA. 1950;142(1):69. doi:10.1001/jama.1950.02910190071026

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This small volume represents a brief review of regional ileitis by one of the pioneer students of this disease. The author reviews the many theories that have been advanced to explain the etiology of regional ileitis, but points out that the cause is still unknown. The pathology and symptomatology are then discussed along with the roentgen picture of this disease. He points out that many of these patients give a history of rectal abscesses or fistulas and that diarrhea is the most common symptom and is found in 85 per cent of the patients. Of importance on physical examination is the presence of an abdominal mass or a fistula in a previous laparotomy incision. The so-called string sign is the characteristic feature of the roentgenologic appearance of the disease.

The author outlines the medical treatment of regional ileitis but questions whether there is ever an indication for medical treatment of

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