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March 18, 1961

The Results of Surgical Treatment of Chronic Regional Enteritis

Author Affiliations


JAMA. 1961;175(11):986-989. doi:10.1001/jama.1961.03040110050011

Chronic regional enteritis recurred in 28 (53%) of 52 patients within five years after 86 definitive operations. Despite the high rate of recurrence, 42 (81%) of the patients were restored to satisfactory health. Certain conditions predisposed to recurrence. It was more frequent in patients under 30 years of age (62%) than in those over 40 (30%) and more frequent in patients with extensive disease (67%) than in those with localized disease (42%). All patients with extensive mesenteric lymphadenopathy suffered recurrences, and 69% of patients with a previous recurrence suffered further recurrence. Satisfactory rehabilitation was achieved in 62% of the patients with recurrent disease by combined medical and surgical therapy.