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BRYAN BROOKE, MD, MCHIR, FRCS

Arch Surg. 1975;110(7):781-782.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The last quarter century has seen the gradual development of ileostomy from an unmitigated disaster to a stoma brought to a level of efficiency that has made it acceptable not only as a gastrointestinal but also as a urinary conduit, thanks to the invention by Rutzen of the adherent bag and its subsequent development. The first step was to produce a stoma around which the bag could be comfortably placed and worn. This presented no technical difficulties and led to the effective application of surgery to the field of ulcerative colitis; increasing familiarity permitted the ablative surgery for this disease to move from staged procedures to removal of the large intestine at one operation. However, a serious problem of immediate postoperative diarrhea arose, with patients losing as much as 3 liters of fluid via the stoma per day, complicating biochemical disturbances due to loss of fluid and electrolytes in those . . . [Full Text PDF of this Article]

Author Affiliations
St. George's Hospital Blackshore Road Tooting London SW17 OQT England

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