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ACUTE INTESTINAL OBSTRUCTION: I. GENERAL CONSIDERATIONS

ACUTE INTESTINAL OBSTRUCTION: I. GENERAL CONSIDERATIONS Abstract It is significant that in the treatment of acute intestinal obstruction the more refined surgical procedures and the therapeutic measures that have recently been instituted to combat dehydration and to correct the accompanying alterations of the blood plasma have not had noticeable effects in lowering the mortality in this disease. This is a situation that obviously deserves thoughtful consideration by the medical profession. One method of approach to this subject is through the statistical study of results. This and the suceeding papers present an analysis of all the cases of acute mechanical obstruction (a total of three hundred and thirty-five cases) at the Massachusetts General Hospital from 1918 through 1927; cases of subacute obstruction and those due to paralytic ileus have been excluded. For the purpose of this study the cases are divided into three main groups: Group I includes all cases except those due to neoplasms (except neoplasms that References 1. McIver, M. A.: Acute Intestinal Obstruction. II. Acute Mechanical Obstructions Exclusive of Those Due to Neoplasms and Strangulated External Hernias, Arch. Surg., this issue, p. 1106. 2. Scudder, C. L.: The Principles Underlying the Treatment of Acute Intestinal Obstruction; a Study of 121 Cases of Acute Intestinal Obstruction from the Massachusetts General Hospital Clinic , Tr. New Hampshire State M. Soc. , (May) , 1908, p. 234. 3. Richardson, E. P.: Acute Intestinal Obstruction: A Study of a Second Series of Cases from the Massachusetts General Hospital , Boston M. & S. J. 183:288 ( (Sept. 2) ) 1920. 4. McIver, M. A.: Acute Intestinal Obstruction: III. Obstruction Due to Neoplasms and Strangulated External Hernias, Arch. Surg., this issue, p. 1125. 5. It has been shown by numerous observers that untreated simple high obstruction in dogs has a rapid, fulminating course, the animals usually dying in two or three days, whereas if the obstruction is situated lower in the small intestine the animals may live for days or even weeks. 6. McIver, M. A., and Gamble, J. L.: Body Fluid Changes Due to Upper Intestinal Obstruction , J. A. M. A. 91:1589 ( (Nov. 24) ) 1928. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

ACUTE INTESTINAL OBSTRUCTION: I. GENERAL CONSIDERATIONS

McIVER, MONROE A.
Archives of Surgery , Volume 25 (6) – Dec 1, 1932
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References (9)

Publisher
American Medical Association
Copyright
Copyright © 1932 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1932.01160240090008
Publisher site
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Abstract

Abstract It is significant that in the treatment of acute intestinal obstruction the more refined surgical procedures and the therapeutic measures that have recently been instituted to combat dehydration and to correct the accompanying alterations of the blood plasma have not had noticeable effects in lowering the mortality in this disease. This is a situation that obviously deserves thoughtful consideration by the medical profession. One method of approach to this subject is through the statistical study of results. This and the suceeding papers present an analysis of all the cases of acute mechanical obstruction (a total of three hundred and thirty-five cases) at the Massachusetts General Hospital from 1918 through 1927; cases of subacute obstruction and those due to paralytic ileus have been excluded. For the purpose of this study the cases are divided into three main groups: Group I includes all cases except those due to neoplasms (except neoplasms that References 1. McIver, M. A.: Acute Intestinal Obstruction. II. Acute Mechanical Obstructions Exclusive of Those Due to Neoplasms and Strangulated External Hernias, Arch. Surg., this issue, p. 1106. 2. Scudder, C. L.: The Principles Underlying the Treatment of Acute Intestinal Obstruction; a Study of 121 Cases of Acute Intestinal Obstruction from the Massachusetts General Hospital Clinic , Tr. New Hampshire State M. Soc. , (May) , 1908, p. 234. 3. Richardson, E. P.: Acute Intestinal Obstruction: A Study of a Second Series of Cases from the Massachusetts General Hospital , Boston M. & S. J. 183:288 ( (Sept. 2) ) 1920. 4. McIver, M. A.: Acute Intestinal Obstruction: III. Obstruction Due to Neoplasms and Strangulated External Hernias, Arch. Surg., this issue, p. 1125. 5. It has been shown by numerous observers that untreated simple high obstruction in dogs has a rapid, fulminating course, the animals usually dying in two or three days, whereas if the obstruction is situated lower in the small intestine the animals may live for days or even weeks. 6. McIver, M. A., and Gamble, J. L.: Body Fluid Changes Due to Upper Intestinal Obstruction , J. A. M. A. 91:1589 ( (Nov. 24) ) 1928.

Journal

Archives of Surgery – American Medical Association

Published: Dec 1, 1932

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