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January 1952


Author Affiliations

From the Surgical Service of Dr. Ralph Colp, the Mount Sinai Hospital, New York.

AMA Arch Surg. 1952;64(1):28-46. doi:10.1001/archsurg.1952.01260010039005

THE PERSISTENCE, progression, or recurrence of disease following surgery for nonspecific granulomatous ileitis is not as infrequent as was originally reported. It would appear that the incidence of further disease will increase in direct proportion to the length of time that the patients are followed and to the care with which they are reexamined. Table 1 lists the recurrence and mortality rates recorded by various investigators.1 The recurrence rate for the simple exclusion operation calculated from this data is 28.9%. The recurrence rate calculated for the resection operation is 21.8%. The type of surgical procedure, therefore, be it a side-tracking operation or a resection of bowel, appears to have little influence on the ultimate course of the disease. Clinical experience, rather, indicates that the fate of the patient seems to depend on whether or not the disease is definitely localized and remains localized to a comparatively small area of

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