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Discusses results obtained from the surgical treatment of ulcerative colitis in the U.S. Details on the incidence of cancer in retained colons in patients not undergoing colectomy for ulcerative colitis; Percentage of patients treated medically for the disease; Accounts on the comparative mortalities of cecostomy and transverse colostomy for acute colic obstructions.

This article investigates whether ulcerative colitis patients can be differentiated on Minnesota Multiphasic Personality Inventory variables from patients with other psychosomatic diagnoses. For many years, ulcerative colitis has been considered a psychosomatic illness, but there continues to be disagreement as to the character traits and psychological factors typifying these patients. The 56 ulcerative colitis subjects and 122 psychosomatic subjects were patients receiving treatment in the Department of Medicine of an urban general hospital.

An outbreak of gastroenteritis in a trailer park in Pico Rivera, California, led to investigation of the water supply and an epidemiological survey of residents of the community. The syndrome called ‘sewage poisoning’ was believed to be responsible. [ABSTRACT FROM AUTHOR]

Osteomyelitis complicating granulomatous disease of the bowel is described in a case report. Bony complications of this disorder should be kept in mind since they may occur more commonly than has previously been appreciated. [ABSTRACT FROM AUTHOR]

Presents a study on upper esophageal web or sideropenic dysphagia and ulcerative colitis. Cause of upper esophageal web formation; Findings of a physical examination on two patients with ulcerative colitis and dysphagia; Analysis of the correlation between upper esophageal web and ulcerative colitis.

Reports on a study which reviewed various theories of the etiology of ulcerative colitis. Materials and methods; Results; Summary and conclusions.

Presents information on the treatment of ulcerative colitis. Medical errors that characterize the management of ulcerative colitis; Etiology of ulcerative colitis; Use of sedatives in cases of ulcerative colitis.

One hundred and two patients encountered in gastroenterologic practice were given combined oxyphencyclimine-hydroxyzine tablets for an average period of 8 weeks, as part of a total regimen which included special diet and, in some cases, antacids and/or other medication. Functional bowel distress, peptic ulcer, and ulcerative colitis were the most frequent complaints, but a wide variety of other gastroenterologic disorders were treated. Most patients received ½ Enarax tablet q.i.d.; others were stabilized at ½ Enarax tablet b.i.d. Results with combined oxyphencyclimine-hydroxyzine were excellent to good in 70 patients (69 per cent); good to fair in 18 (18 per cent); and fair to poor in 14 (13 per cent). Over all excellent to fair results in controlling symptoms were attained in 88 of the 102 patients or 86 per cent of the cases studied. Dryness of mouth was frequently encountered, but tended to be relieved with adjusted dosage and continued medication. It is believed that combined oxyphencyclimine-hydroxyzine is a very useful addition to the gastroenterologist's armamentarium. Its use need not be limited to the patient with peptic ulcer and allied disorders but may be extended to therapy of functional bowel disorders and to conditions involving spasm of the sphincter of Oddi. The clinical effectiveness of Enarax may be ascribed to the properties of its components. Hydroxyzine is an antihistaminic ataractic possessing antispasmodic and antisecretory properties. The effect of oxyphencyclimine is to curb hypersecretion, spasm, and hypermotility. [ABSTRACT FROM AUTHOR]

Investigates the significance of psychological factors in ulcerative colitis. Considerations involved in an approach to an understanding of the illness; Characteristic features in the life situation of patients with ulcerative colitis; Role of psychotherapy correlated with appropriate pediatric and other medical care in the overall treatment of ulcerative colitis.

Segmental ulcerative colitis has been defined to include only that type of colitis that is limited to a segment or a portion of the colon with no involvement of the terminal ileum or the rectum. In published reports many cases of so-called segmental ulcerative colitis have been included in which the ileum was involved (ileocolitis or right-sided ulcerative colitis with retrograde involvement of the terminal ileum); this has brought about confusion as to the definition of the entity. Nine patients with segmental ulcerative colitis have been observed at the Cleveland Clinic and are discussed. Our incidence of patients with segmental colitis, as compared to the incidence of patients with all types of ulcerative colitis, is approximately one per cent Of seven patients treated medically four made satisfactory progress, while in three the disease progressed and required surgery. Of the nine patients five underwent surgery and in all good results were achieved, although some patients required more than one operation. Two of three patients in whom segmental resections of the involved areas were done had no recurrence of colitis in four and five years. We believe that medical treatment should be given initially. If the disease fails to respond to adequate medical therapy and/or there is progression of the disease, surgical treatment is indicated. Surgical treatment should remove completely the diseased tissue, but at the first operation preservation of normal bowel (i.e. segmental resection) is advisable. If there is incapacitating recurrence, subtotal colectomy with ileoproctostomy or total colectomy with end-ileostomy may be done subsequently. [ABSTRACT FROM AUTHOR]

Focuses on a panel discussion on chronic ulcerative colitis, held during the 22nd annual convention of the American College of Gastroenterology in Boston, Massachusetts from October 21 through 23, 1957. Elucidation of the pathologic changes of the disease; Clinical features of several forms of ulcerative colitis; Factor that may precipitate an acute episode; Analysis of a case report.

Discusses the diagnosis and treatment of chronic regional enteritis. Components of abdominal mass; Changes in the small intestine that aid diagnosis; Elements of medical treatment.

Our experience and that of others has shown that regional enteritis may periodically resolve itself without effective medical treatment or following a by-pass operation, and there may be no recurrence in 35 to 50 per cent of the cases. Also, recurrence developed after any form of treatment (other than with crude liver extract) in 50 to 65 per cent of those cases observed for ten years or more. Furthermore, there was the probability that every case would not respond to treatment with crude liver extract as our cases have responded. Certainly this should be true in the neglected cases when the fibrous changes in the intestinal wall had become mature and irreversible. Under these conditions our series of cases was too small to arrive at positive conclusions. We believed that further trial with crude liver extract and research directed to other medical methods were indicated by these experiences because: 1. No operations that involved resection or by-passing were done. 2. Relief of symptoms and the disappearance of roentgen findings occurred too promptly to be coincidental. 3. Recurrent attacks have responded promptly to the same treatment and the recurrence rate appeared to be lower. 4. A case complicated by fecal fistulas, a condition believed to be a definite indication for resection, was resolved without operation. The quantity of the extract to be given any one case was on an empirical basis. It was our belief that regional enteritis was a deficiency state. The "curative" agent was found in the complex crude liver substance. Pathological tissue diagnosis was uncertain in the early stages and in these instances the combined observations of pathologist and surgeon were necessary to arrive at an accurate diagnosis. Roentgen ray examinations in the early stages were of diagnostic value only when correlated with the clinical signs. In my opinion a certain number of those cases that have been diagnosed by the roentgenologist as showing evidence of avitaminosis... [ABSTRACT FROM AUTHOR]

Discusses the management of several types of ulcerative colitis. Chemical treatment; Emotional treatment; Dietary treatment.

Discusses the elimination of postoperative morbidity in the surgical management of chronic idiopathic ulcerative colitis. Types surgical intervention for chronic ulcerative colitis; Indications for colectomy for colitis; Technic of operation.

This article focuses on the association of primary cutaneous ulceration with pyroderma gangrenosum. The incidence of pyroderma gangrenosum as a complication of ulcerative colitis was estimated to be about 0.8%, and since 1930, a number of case reports have appeared in dermatological literature. In four eases these primary lesions were sterile, in contrast to the varied flora isolated from the actual ulcers. The patient was a man aged 24 who had suffered from recurrent attacks of ulcerative colitis for four years.

A case of chronic ulcerative colitis with phlegmasia cerulea dolens requiring almost total limb amputation is reported. The patient developed shock, massive gangrene of the left lower extremity and general sepsis, yet recovered and during the ensuing 2 years has acquired a prosthesis and evidenced an encouraging degree of rehabilitation. Refrigeration of the gangrenous limb seemed to be the therapeutic measure that was most decisive in returning this patient from a moribund .state to one which would permit the radical surgical amputation, which was necessary to save his life. We feel that this case illustrates the need for perseverance in the treatment of desperate cases of this type. It also serves as a reminder that refrigeration of the limb as a preparatory measure to obligatory amputation should not be forgotten, since occasionally it may salvage an apparently hopeless case. The pathogenesis of venous thrombosis in ulcerative colitis is obscure and remains a challenging problem for elucidation. [ABSTRACT FROM AUTHOR]

Presents several topics discussed by a panel of surgeons which deals with the surgical management of inflammatory bowel disease. Diverticular disease of the colon; Ulcerative colitis; Granulomatous inflammatory bowel disease.

Analyzes the beneficial effect of sprue diet on ulcerative colitis. Principle of the diet; Period of time that the diet should be undertaken; Overview of several cases that were selected for the study.

The article discusses a study of enzymatic cytolysis of epithelium by filters from patients with ulcerative colitis, conducted by R. B. Stoughton. According to the study, kltrates of the faeces of 18 out of 21 patients with ulcerative colitis contained a factor, different from the epidermis-digesting factor.