Although medical treatment of dysentery yields good results in many cases, a large number of dysenteric patients succumb in spite of careful and painstaking treatment. The unqualified success which has attended the use of colostomy in the treatment of the case which I present leads me to believe that many patients die because the application of remedies to the diseased portion of the bowel is impracticable by ordinary methods.
The pathological description, as given by Osler,1 assists us in comprehending the difficulty which is experienced in treating some cases of dysentery. It can readily be conceived that if the ulcerated portion of the colon is situated at a distance from the rectum, i. e., if it occupies the ascending colon or the cecum, any fluid injected will have difficulty in reaching the diseased area and, if it should reach it, it will not remain long enough in contact with the
SULLIVAN WN. COLOSTOMY FOR THE CURE OF AMEBIC DYSENTERY. JAMA. 1900;XXXV(23):1475–1476. doi:10.1001/jama.1900.24620490033001k
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