Acute terminal ileitis is not amenable to surgery, but is sometimes revealed at laparotomy for acute abdominal disease. Chronic terminal ileitis, however, is treated surgically to relieve such complications as obstruction and fistula formation. Thirty-two patients with enteritis who were treated by resection and anastomosis have been followed for two years or more, and rehabilitation has been complete in 13 of these. Less satisfactory results were obtained in the remaining 19, some of whom needed reoperation. Recurrence can be treated either by reresection and anastomosis or by reexclusion and ileosigmoidostomy. The risk and recurrence rates are about the same for these two accepted methods.
Ferguson LK. SURGICAL VIEWPOINT IN REGIONAL ILEITIS. JAMA. 1957;165(16):2048–2052. doi:10.1001/jama.1957.02980340014004
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