Loop illeostomy in the management of Crohn's colitis in the debilitated patient.

@article{Zelas1980LoopII,
  title={Loop illeostomy in the management of Crohn's colitis in the debilitated patient.},
  author={P Zelas and David G. Jagelman},
  journal={Annals of surgery},
  year={1980},
  volume={191 2},
  pages={164-8}
}
Loop ileostomy to establish fecal diversion has been used in 79 patients as the initial surgical procedure in severe, debilitating Crohn's colitis or ileocolitis. Clinical improvement, as measured by subjective and objective criteria and length of hospitalization, occurred in 72 of 79 patients (91%). Definitive surgery was then undertaken at a later stage under more ideal circumstances without mortality. The high relapse rate of 33% in this series would lead us to recommend definitive surgery… CONTINUE READING

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