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Biomedical subjects

J Kewenter

Publications and source records attributed to J Kewenter.

At least 91 records · Page 5Linked to original sources

The relationship and epidemiology of acute terminal ileitis and Crohn's disease.

The frequency of admission for acute terminal ileitis, Crohn's disease, and acute mesenteric lymphadenitis has been compared from the years 1951 to 1970, and the long-term results of operation for acute terminal ileitis in 1951-1965 have been examined. Whereas the admission rates for both acute terminal ileitis and Crohn's disease rose during the review period, that for acute lymphadenitis tended to fall slightly. Sixty-eight of 72 patients operated upon by appendicectomy who had acute terminal ileitis were followed up. One of these, with small intestinal stenosis at the initial operation, proved to have histological evidence of Crohn's disease, and a further nine have since developed unequivocal evidence of the disease. A cutaneous fistula developed in only one patient after appendicectomy. It is concluded that appendicectomy can safely be performed in acute terminal ileitis provided that the caecum is not inflamed and that Crohn's disease seldom develops as a sequel.

Acute Disease↗

Abortion studies in patients with "intraabdominal ileostomy reservoirs" and in patients with conventional ileostomies.

Twenty patients with ileostomy were studied concerning the absorption of d-xylose, fat, l-phenylalanine, and vitamin B(12). Ten patients had a conventional ileostomy, whereas 10 others were provided with an intraabdominal intestinal ileostomy reservoir resulting in faecal continence. No remarkable differences in the absorption of d-xylose, fat, or l-phenylalanine were found between the two groups of ileostomy patients. Most of the absorption values were within normal or borderline ranges. In the reservoir group the Schilling test gave subnormal values in six out of 10 patients, whereas only one patient in the group with a conventional ileostomy had a subnormal value. The reason for this finding is briefly discussed.

Administration, Oral↗