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Martin A. Adson, MD; Immanuel Benjamin, MD; Malcolm B. Dockerty, MD

AMA Arch Surg. 1971;102(4):326-331.

Abstract
The histopathologic changes in the ileum in postcolectomy ileitis resemble the changes that had occurred in the previously resected colon. Granulomatous postcolectomy ileitis is considered to be idiopathic. The nature of mucosal postcolectomy ileitis remains obscure, and there is sufficient uncertainty concerning its etiology to justify conservatism in surgical management. Granulomatous ileitis which does not respond to medical treatment is properly treated by resection of the involved ileum. It is reasonable to resect short segments of mucosal ileitis, but long reaches of mucosal ileitis associated with ileostomy should be managed by limited resection, construction of a proper stoma, and close postoperative observation.

Author Affiliations
Rochester, Minn

From the Section of Gastroenterologic and General Surgery (Dr. Adson) and Department of Surgical Pathology (Dr. Dockerty), Mayo Clinic and Mayo Foundation; and the Mayo Graduate School of Medicine (University of Minnesota), Rochester (Dr. Benjamin).

Footnotes
Accepted for publication Dec 15, 1970.

Read before the 78th annual meeting of the Western Surgical Association, Colorado Springs, Colo, Nov 19, 1970.

Reprint requests to Mayo Clinic, Rochester, Minn 55901 (Dr. Adson).

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ABSTRACT