Inflammatory Bowel Disease: Experience and Controversy

Front Cover
B.I. Korelitz
Springer Science & Business Media, Dec 6, 2012 - Medical - 246 pages
Grouping ulcerative colitis with Crohn's disease (Inflammatory Bowel Disease) in a teaching seminar has historical support. The medical literature includes descriptions of both diseases in the latter half of the 19th century; they share many symptoms; in some instances, differentiating them may be very difficult; and the cause of each remains unknown. Furthermore, one member of a family may suffer with Crohn's disease while another has ulcerative colitis. And both processes are prone to the late complications of carcinoma at a site of previous involvement. Finally, the investigators and students of one disease have usually also contributed to the understanding of the other disease. The incidence of Crohn's disease seems to be increasing rapidly. This has been sug gested by reports from Sweden, the Netherlands, England, Scotland, and South Africa as well as the United States. Though methods of recording data vary, the increase is further supported by cases of greater virulence, still younger ages of onset, and more cases in the elderly. This is remarkable when we consider that fifty years ago, when the classic description from Mt. Sinai Hospital was being prepared, the disease was rare. Since the cause remains elusive, we must try to cope with this entity as skillfully as we can, with consideration of indications, and timing of drug and surgical intervention. The choice of forms of management has been controversial, even among the most experi enced physicians.
 

Contents

PART
ix
Evidence for Crohns Disease as an Extensive Process
9
Environment vs Heredity in Inflammatory Bowel Disease
21
Is Investigation Headed in the Right Direction?
29
The Role of Hyperalimentation in the Treatment
55
Special Problems of Adolescents with Inflammatory
63
Burton I Korelitz MD
77
Where Has Colonoscopy Had Its Greatest Value in
87
Felicien M Steichen MD
125
Indications for Surgery in Crohns Disease As Seen by
133
Why Do Results of Management of Toxic Megacolon
153
The Problems Arising in Diagnosis of Dysplasia
161
A Program for Management of Ulcerative Colitis
175
SPECIAL PRESENTATION
185
Experience and Late Results with the Continent Ileostomy
207
An Appraisal of the Results of the Continent Ileostomy
221

Has There Been Any Progress in the Xray Diagnosis
107
When in the Course of Crohns Disease Should Xray Studies
117

Other editions - View all

Common terms and phrases

Bibliographic information