[Skip to Content]
[Skip to Content Landing]
September 24, 1960


Author Affiliations

27 Prospect Park West Brooklyn 15, N. Y.

JAMA. 1960;174(4):436. doi:10.1001/jama.1960.03030040090026

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


To the Editor:—  The article by Bacon, Bralow, and Berkley entitled "Rehabilitation and Long-Term Survival after Colectomy for Ulcerative Colitis" in The Journal, Jan. 23, page 324, requires comment. The senior author, who has repeatedly advocated colectomy as a cure for chronic ulcerative colitis, is not the only surgeon misusing the term "cure." However, semantics is not the major issue here. The authors report on 468 patients with ulcerative colitis, 124, or 26%, of whom had colectomies and permanent ileostomies performed. The substitution of one miserable condition for another just as miserable is incomprehensible.The medical management of chronic ulcerative colitis has improved immensely during the past decade so that only rarely need a patient be subjected to colectomy with permanent ileostomy. At the Mayo Clinic, where many patients with ulcerative colitis are seen annually, only 5.5% have operations (Rogers, Bargen, and Black: Gastroenterology 27:383 [Oct.] 1954). Kirsner and Palmer

First Page Preview View Large
First page PDF preview
First page PDF preview