As in all scientific pursuits, in clinical medicine one invariably becomes tenaciously attached to the study of some entity yet unconquered. After many years physicians are still searching for a specific treatment for one of the most dreadful diseases in the abdomen, chronic ulcerative colitis. In this writing an attempt is made to outline and correlate the experiences I have had with 912 cases. The essential diagnostic features that may influence the decision as to the type of management to institute are (1) the clinical history, (2) the pathologic conditions seen on proctoscopy and (3) the roentgenologic description of the extent of the disease and the degree of anatomic changes produced (table 1). The important details related in any clinical history of an abdominal ailment have been well written up many times and need not be repeated.1Expert understanding and evaluation of the extent of the lesion of the
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Michael H. Streicher (1942) studied this question.