Sebastiani M, Beluffi L, Lungarotti F, Sensini A
Chir Ital. 1978 Dec;30(6):765-72.
The authors offer a critical review of eight cases of hemorrhagic colorectitis and Crohn's disease (regional ileitis) managed with medical treatments, and eleven like cases treated surgically, during the last ten years. After a discussion of the resources and limitations of medical therapy, the authors describe the various surgical strategies adopted in their cases; they define the possibility of obtaining final cures in Crohn's disease with extended ileocolectomy; and concerning ulcerative forms, they point out the greater efficacy of surgical procedures involving sacrifice of the rectum compared to those in which the terminal segment of the gut is used immediately or later for restoring continuity of the intestinal canal.
作者对过去十年间采用药物治疗的8例出血性结肠炎和克罗恩病(局限性回肠炎)病例,以及11例采用手术治疗的类似病例进行了批判性回顾。在讨论了药物治疗的资源和局限性后,作者描述了他们在病例中采用的各种手术策略;他们确定了通过扩大回肠结肠切除术治愈克罗恩病的可能性;对于溃疡性病变,他们指出,与那些立即或稍后使用肠道末端段恢复肠道连续性的手术相比,牺牲直肠的手术程序疗效更佳。