AN ANALYSIS of our files on patients with ulcerative colitis to Sept. 1, 1947, has indicated that approximately 15 to 20 per cent of them have reached an advanced stage of this disease. If one is correct in assuming that 15 to 20 per cent of all patients with chronic ulcerative colitis advance to the stage of chronic medical invalidism, disability and an unemployable status, then selective surgical treatment should be offered to this group. A restoration to health and occupation should be the yardstick by which the results of surgical treatment are evaluated.
A survey of the reports of Cave,1 Jones,2 Rankin,3 Cattell,4 Dixon,5 Kiefer,6 Bargen,7 Crohn,8 Bockus,9 Cave and Mackie,10 Dennis,11 Garlock,12 Ravich13 and many others has indicated that surgical treatment will rehabilitate a greater number of patients than is generally recognized.
AULT GW. SURGICAL TREATMENT OF ULCERATIVE COLITIS. Arch Surg. 1949;58(3):243-250. doi:10.1001/archsurg.1949.01240030249001