Surgical Treatment of Regional Enteritis

Colcock, Bentley P.; Vansant, John H.

doi:10.1056/nejm196003032620903

Cited by 67 publications

(6 citation statements)

References 17 publications

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“…T h e status at follow-up of all the second resection cases has been calculated by combining with the follow-up information of the third resections; it was found that 50 per cent were well, 30 per cent were 'unwell', and 20 per cent have died from complications of the disease or of its treatment. These figures accord with those of other large series which have not been included for lack of comparable information (e.g., Colcock and Vansant, 1960). T h e length of follow-up will clearly affect the results profoundly; however, long-term follow-up is common in the analysis of multiple resections as the various procedures are often spread over many years.…”

Section: Discussionsupporting

confidence: 84%

Surgical resection of recurrent Crohn's disease

Grogono

Parks

1972

Journal of British Surgery

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SUMMARYThe outcome of a group of 24 patients having multiple resections for Crohn's disease is presented by means of 'life charts'. These show that it is uncommon for a second resection to be the start of a downhill course and about half of the patients remain well over long periods of follow-up. Comparison with other series is difficult for various reasons, but where comparison is possible the results are similar, except that few patients in this series have so far come to a third resection.THERE is continuing dispute concerning the place of excisional surgery in recurrent Crohn's disease. A review of the collected series (

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Section: Discussionsupporting

confidence: 84%

Surgical resection of recurrent Crohn's disease

Grogono

Parks

1972

Journal of British Surgery

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“…1958;Pollock, 1958;Colcock and Vansant, 1960;Gump and Lepore, 1960;Stahlgren and Ferguson. 1961;Barber, Waugh, Beahrs, and Sauer, 1962;Edwards, 1964;Sie Atwell et al, 1965;Schofield, 1965;Lennard-Jones and Stalder, 1967) …”

Section: Discussionmentioning

confidence: 99%

Recurrence of Crohn's disease after primary excisional surgery

Dombal¹,

Burton²,

Goligher³

1971

Gut

213

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SUMMARY The problems associated with recurrent Crohn's disease were examined in a series of 168 patients who had undergone primary resection for this condition at the General Infirmary at Leeds from 1939 to 1968 inclusive.The overall recurrence rate was 34.2%. The risk of recurrence was less in patients with involvement mainly of large bowel rather than small. It was also affected by the age of the patient, being greatest in children or adolescents, less in adults, and least in those over 60 years of age.Recurrent disease was most commonly found in the small bowel proximal to an anastomosis, and usually manifested itself either in the first year or two after surgery or some five to 15 years later. Patients with 'early' recurrence had a shorter history of symptoms at operation, and a graver outlook than those with 'late' recurrence.The status of recurrent cases was much better than might have been anticipated in so far as nearly 70% of them were considered at review to be in very good or good general health. Moreover the risk of further recurrence after a second or third operation was found to be no greater than after a first operation.

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“…Patients with inflammation of both terminal ileum and large intestine have been recognized for many years but some authors still have stated or implied that Crohn's disease of the ileum and ulcerative colitis often occur in the same patient; that granulomatous histological changes are frequently present in ulcerative colitis; and that there are no significant clinical differences between ulcerative colitis and the granulomatous forms of colon disease (Yarnis, Marshak, and Crohn, 1957;Yarnis and Crohn, 1960;Colcock, Vansant, and Contreras, 1961). All these opinions we believe to be incorrect.…”

Section: Discussionmentioning

confidence: 99%