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March 7, 1966

Early Colectomy Suggested for Children

JAMA. 1966;195(10):41-42. doi:10.1001/jama.1966.03100100015004

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Early colectomy is often the treatment of choice in children with ulcerative colitis, says a Los Angeles surgeon.

"Parents and physicians are reluctant to subject a child to colectomy and ileostomy, and all too often, before surgical therapy is advised or accepted, the patient is permitted to deteriorate into a hopeless state from which restoration is impossible," Phillip Levin, MD, told the annual meeting in Milwaukee of the Society of University Surgeons.

"Surgical management of ulcerative colitis in children should not be reserved as a last resort, for it usually has much more to offer than that which is sacrificed."

Dr. Levin said a recent study of 54 pediatric patients who were treated for ulcerative colitis at the University of California, Los Angeles, Center for Health Sciences, suggests: (1) the long-term result of medical management of chronic, remittent, ulcerative colitis in children is frequently unsatisfactory; (2) the morbidity and mortality

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