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70 Year since First Description of Crohn's Disease |
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Kh.
Pachkoria, L. Dzneladze, V. Meunargia, E. Adamia, Z. Tabidze, |
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Key
words: regional ileitis, B. Crohn. The
authors view the history of Crohn's disease from Hippocrate till the
beginning of the 21th century. Special attention is paid to Aretha the Cappadoccian - the
first who described clinical symptoms specific for Crohn's disease in the
first third of the 2nd century. Aretha was from Cappadoccia, that was
situated in the South -West
part of Georgia and today is the part of Turkey. Georgian tribes - meskhi,
lazi, chani - inhabited Cappadoccia at that time. People, who occupied a
very important place in the history of Georgian ethnos, such as St. George
the Cappadoccian, St. Nino the Cappadoccian, Basil the Great, Grigol Noseli
and others were born and led their work in Cappadoccia. The authors frame
the hypothesis that Aretha the Cappadoccian, like the Saints mentioned
above, could also be of Georgian origin. Aretha the Cappadoccian was called
"Raphael of Clinical Medicine", the greatest physician who lived
after Hippocrate. Aretha
the Cappadoccian was also the first in the history of medicine, who
described Diabetes Mellitus, Cholera, Tetanus, Epilepsy, Histeria, Pleuritis,
Marasmus, Portal Vein Inflammation, Hepatic Abscess and many others. In the
medical literature Aretha the Cappadoccian is considered to be one of the
first who established medical deontology and euthanasia. The
authors highly honoured the role of Giovanni Batista Morgan (18th century),
Carl Rokitansky (19th century), T. Dalsil (20th century), Ginsburg,
Oppenheimer and, of course, Beril Crohn (1884-1983) in the study of the
Crohn's Disease.Besides, the role of Cantor, Marshac, Morson, Nana Svartz
and others is also highly appreciated. The activity of Dr. Pfalc, who
organized the Pflac Symposia to discuss and evaluate, diagnostics and
treatment of the Crohn’s disease, is underlined one of the Pfalc Symposia
was held in Tbilisi in May, 1998. The inputt of Georgin physicians in the
study of the Crohn's disease was underlined at the Symposium. It is worth
mentioning here that already in 1939-1940 the first surgical interventions
due to regional ileitis were performed in Tbilisi (E. Zakaraia, T.
Nemechinskaya-Chikovani, 1940, T. Mikeladze). The
key-speaker of the Symposium Prof. Lennard-Jones gave high appraisal to Dr
Tamar Dekanosidze, the pathoanatomist; Dr. R. Chekurishvili, the X-ray
specialist; Dr T. Akhmeteli, the surgent; Dr B. Rachvelishvili, the
gastroenterologist, for their achievements in the diagnosis and treatment of
regional enteritis. The role of the Gastroenterology Dep. of the Tbilisi
Republical Hospital in the study of the Crohn's Disease was particularly
stressed. The first monography on the Crohn's disease was published in
Georgia by the Hospital (K. Virsaladze, B. Rachvelishvili, Kh. Pachkoria
"Crohn's disease", Tbilisi, 1987).
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