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Article
October 12, 1918

ENTEROCOLOSTOMY FOR ACUTE OBSTRUCTION OF THE TERMINAL ILEUM FROM INFECTION IN THE PELVIS AND LOWER ABDOMEN

JAMA. 1918;71(15):1242. doi:10.1001/jama.1918.02600410064021

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Abstract

To the Editor:  —In his article in The Journal, Sept. 7, 1918, Dr. B. M. Anspach recommends an enterocolostomy for acute obstruction of the terminal ileum caused by infection in the pelvis, and cites clinical results. I am heartily in accord with his report and wish to emphasize my opinion by citing an article I wrote in the Boston Medical and Surgical Journal (1913, 169, 313) in which I advocated this identical procedure for just such obstructions and reported three successful cases. Since then I have had four more, one in a child aged 4 years, all successful. I had operated on my first three patients previous to an article by Cheever (Boston Medical and Surgical Journal (1913, 168, 719) in which he first described this type of obstruction of the terminal ileum from suppuration in the pelvis, the condition in his cases and mine being due to the appendix.

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