In a paper1 read before this association in 1907, I advocated surgical treatment of all patients with amebic dysentery, in whom, after a fair trial of other forms of treatment, Amœba coli could be found in the stools.
In offering some definite time limit during which these various other methods of treatment could be carefully and impartially exhibited, before classing a case as chronis (and, in my opinion, surgical), I suggested a period of about a year.
In the discussion of the paper, Dr. A. J. MacKenzie, Portland, Ore., expressed the view that I had been too conservative in waiting a year before operating, and suggested that appendicostomy be performed if the disease proved resistant after six months.
The fact that this question is of such vital and practical importance is my justification for presenting another paper on the subject.
Another incident influencing the production of this paper has
HOLT JM. MEDICAL VERSUS SURGICAL TREATMENT OF AMEBIC DYSENTERY. JAMA. 1908;LI(25):2140–2143. doi:10.1001/jama.1908.25410250040001h
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