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  Vol. 116 No. 12, December 1981 TABLE OF CONTENTS
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Colectomy With Rectal Mucosectomy and Ileoanal Anastomosis

MAX A. HEEB, MD
Sikeston, Mo

Arch Surg. 1981;116(12):1597.

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

To the Editor.—I read the interesting article "Colectomy With Rectal Mucosectomy and Illeoanal Anastomosis in Young Patients" by Drs Telander and Perrault (ARCHIVES 1981;116:623-629).

Dr Sam Schneider (deceased) of St Louis operated on a series of patients in the early 1950s. I had an opportunity to work with him on three of these cases. A motion picture of this procedure by Dr Schneider was shown at a clinical congress of the American College of Surgeons in the 1950s and was, as I recall, met with tongue in cheek.

Dr Schneider's procedure involved isolating a terminal loop of ileum as a mucous fistula, with the distal end being brought through the anus and anastomosed. The extraperitoneal rectum was prepared by a mucosectomy using the uterine curette (the blood loss was amazingly controlled and not excessive). A formal ileostomy was performed in the right lower quadrant in the usual manner and . . . [Full Text PDF of this Article]



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