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September 1964

Ulcerative Colitis In Children: II. Medical and Surgical Therapy

Author Affiliations

William M. Michener, MD, Cleveland Clinic, Department of Pediatrics, 2020 E 93rd St, Cleveland, Ohio 44106.; From the departments of pediatrics, of gastroenterology, and of general surgery, The Cleveland Clinic Foundation.

Am J Dis Child. 1964;108(3):236-242. doi:10.1001/archpedi.1964.02090010238004

Progress in the therapy of ulcerative colitis has been definite during the last ten years. A few reports have shown that definitive surgery, namely subtotal colectomy and ileostomy, can be lifesaving and return the child to normal health within several months.1-3 There has been a paucity of reports on the response to medical treatment in children.4 In part 1 of this report the various problems concerning the diagnosis of ulcerative colitis in children are discussed.5 It is the purpose of this report to describe in some detail the medical management of the child with ulcerative colitis and the indications for surgical therapy, and to discuss the results of therapy as well as the problems encountered during treatment of a group of 80 children with ulcerative colitis.

Material  From Jan 1, 1953, to Jan 1, 1963, at the Cleveland Clinic the diagnosis of ulcerative colitis was made in