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September 1954


Author Affiliations


From the Section of Proctology, Mayo Clinic and Mayo Foundation; the Mayo Foundation is a part of the Graduate School of the University of Minnesota.

AMA Arch Intern Med. 1954;94(3):420-424. doi:10.1001/archinte.1954.00250030090010

THE PURPOSE of this paper is not to point out when an ileostomy should or should not be performed in cases of chronic ulcerative colitis but to discuss the proper management of the anorectal complications of the disease and thus obviate performing an ileostomy or colectomy or both of these operations, at least in some cases. Just where to draw the line between medical or conservative management and surgical treatment of chronic ulcerative colitis and its complications is a matter of individual judgment. There is a wide disparity of opinion among surgeons and internists as to when surgical treatment should be instituted. On the one hand are those who advocate the use of ileostomy and colectomy early in the disease. In general, it is our feeling at the Mayo Clinic that radical operation should be performed only in those cases in which the disease cannot be controlled medically or in

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