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Experiences with a New Three-Stage Procedure

SAM SCHNEIDER, M.D.

AMA Arch Surg. 1955;70(4):539-544.

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

Total colectomy until recently has meant a permanent ileostomy. However, several authors* have recommended preservation of the terminal rectum, which is then fulgurated of polyps or stripped of the mucosa in the area accessible to a sigmoidoscope, thus permitting ileosigmoidostomy. Such a procedure is intended to save the terminal rectum and yet prevent the subsequent development of malignant disease therein.

In 1947, Ravitch and Sabiston⁶ described a one-stage surgical procedure in dogs for accomplishing an anal ileostomy, which they thought might be feasible in man with some modification. Procedures of this type have since been applied to patients with either ulcerative colitis or polypoid adenomatosis by Ravitch and co-workers, Wangensteen and Toom, Best, and Devine and Webb.¹⁴ A summary of the 29 cases of these investigators as tabulated by Best in 1952¹³ shows satisfactory results in about half of the patients with ulcerative colitis and in less . . . [Full Text PDF of this Article]

Author Affiliations
St. Louis

From the Divisions of Surgery, the Homer G. Phillips, the Veterans Administration, and The Jewish Hospitals, and the Department of Surgery, Washington University School of Medicine.

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