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RAYMOND J. JACKMAN, M.D.

AMA Arch Intern Med. 1954;94(3):420-424.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

THE PURPOSE of this paper is not to point out when an ileostomy should or should not be performed in cases of chronic ulcerative colitis but to discuss the proper management of the anorectal complications of the disease and thus obviate performing an ileostomy or colectomy or both of these operations, at least in some cases. Just where to draw the line between medical or conservative management and surgical treatment of chronic ulcerative colitis and its complications is a matter of individual judgment. There is a wide disparity of opinion among surgeons and internists as to when surgical treatment should be instituted. On the one hand are those who advocate the use of ileostomy and colectomy early in the disease. In general, it is our feeling at the Mayo Clinic that radical operation should be performed only in those cases in which the disease cannot be controlled medically or in . . . [Full Text PDF of this Article]

Author Affiliations
ROCHESTER, MINN.

From the Section of Proctology, Mayo Clinic and Mayo Foundation; the Mayo Foundation is a part of the Graduate School of the University of Minnesota.

Footnotes
Read before the Section on Gastroenterology and Proctology at the 103rd Annual Meeting of the American Medical Association, San Francisco, June 23, 1954.

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