Summary
We have reviewed our experience with 22 patients with nonspecific inflammatory involvement of the small and large bowel. Patients with this combination of lesions usually have long-standing and intractable illnesses, with many complications, frequently resulting in multiple operations. In long-term follow-up we found a mortality of 23%.
A particularly troublesome combination is granulomatous disease of the small bowel accompanying or followed by ulcerative colitis. Some suggested guidelines as to therapy in the management of these difficult cases have been presented.
The term ileocolitis should be qualified, whenever possible, by the more specific pathologic terms “granulomatous” or “ulcerative” as an aid in planning therapy and in making a prognosis. In the occasional case with both of these characteristics, we subscribe to the term “mixed enterocolitis.”
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Barron, R.A., Jarkowski, T.L., Ruel, R.E. et al. Ileocolitis: The importance of a more precise definition. Digest Dis Sci 9, 862–871 (1964). https://doi.org/10.1007/BF02231880
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DOI: https://doi.org/10.1007/BF02231880