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Chronic inflammatory lesions of the small intestine (Regional Enteritis)

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The American Journal of Digestive Diseases

Summary and Conclusions

1. Eighteen patients with regional, inflammatory disease of the jejunum, ileum or the ileocecal region have been described.

2. Pathologically, the lesions were similar in all segments of the intestine.

3. The chronic inflammatory nature of the lesion emphasizes the importance of excluding tuberculosis as an etiologic factor.

4. Clinically, the symptoms are suggestive of the situation of the disease.

5. The outstanding symptoms include pain, vomiting, diarrhoea, fever and loss of weight.

6. The striking incidence in males is again emphasized (fourteen males, four females).

7. Difficulty in diagnosing these lesions is emphasized by the fact that over half of our group of patients previously had been subjected to abdominal operation.

8. Entero-anastomosis alone has proved sufficient to relieve some patients, but resection of the diseased segment also usually has been necessary.

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Bibliography

  1. Crohn, B. B., Ginzburg, Leon, and Oppenheimer, G. D.: Regional ileitis; a pathologic and clinical entity.J. A. M. A., 99:1323–1329 (Oct. 15) 1932.

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  2. Harris, F. I., Bell, G. H., and Brunn, Harold: Chronic cicatrizing enteritis; regional ileitis (Crohn). A new surgical entity.S., G. and O., 57:637–645 (Nov.) 1933.

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  3. Homans, John, and Hass, G. M.: Regional ileitis; a clinical, not a pathological entity.New England Jour. Med., 209:1315–1324 (Dec. 28) 1933.

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Brown, P.W., Bargen, J.A. & Weber, H.M. Chronic inflammatory lesions of the small intestine (Regional Enteritis). American Journal of Digestive Diseases and Nutrition 1, 426–431 (1934). https://doi.org/10.1007/BF02998947

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  • DOI: https://doi.org/10.1007/BF02998947

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