Word: ileum
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Dates: during 1950-1959
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...lleum? For Ike's kind of regional ileitis the fashion in operations has gone through three main phases. At first it was taken for granted that the only thing to do was to cut the diseased section of ileum out of the body and attach the cut end of the ileum to the colon. But this was a relatively long and bloody procedure. It gave no better results than two types of bypass operations, which came into fashion next (see diagram). In one, the type performed on Ike, a healthy loop of ileum is drawn up and spliced into...
...conclusion that Ike's type of operation, which has been abandoned in some medical centers, must have been wrong. They cited impressive authorities. Dr. Burrill B. Crohn, who first described and named the disease, says in his basic text, Regional Ileitis, that cutting off the diseased ileum "is a sine qua non to the success of any operation." Less than two years ago, at a doctors' round table, New York Hospital Surgeon William F. Nickel Jr. said to Crohn: "One should never [join] small bowel to large bowel . . . without dividing the small bowel, because those patients invariably...
...human digestive tract can become inflamed anywhere along its 25-to-35-ft. length from gullet to anus. Inflammation of the stomach (gastritis) or large bowel (colitis) is common. For reasons that medical researchers have not yet fathomed, inflammation of the ileum, the lower third of the small bowel, is far less common. It escaped description as a recognized disease until 1932, when Dr. Burrill Crohn, of Manhattan's Mount Sinai Hospital, listed its symptoms and put a name to it: regional ileitis. Usually it is limited to the last couple of loops in the small intestine before...
...effects of ileitis are fairly well-known. Inflammation in the end loops causes the walls of the ileum to become engorged with blood, while the inner surface develops scar tissue. The inflamed area becomes swollen with water. These conditions narrow the passage through which the remnants of food, now mostly digested, pass into the colon. When the closure is extreme, waste matter cannot be discharged...
Grubs in the Garden. A 28-year-old California housewife, mother of three was relieved of the ileum and all but two feet of the jejunum, leaving her (with the duodenum) about three feet of small intestine. After two years, her only complaint is diarrhea, usually traceable to fatigue or strain. She does all the housework and scrabbles in the garden without ill effects...