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CURRENT PROCEDURE IN MANAGEMENT OF OBSTRUCTION OF SMALL INTESTINE

CURRENT PROCEDURE IN MANAGEMENT OF OBSTRUCTION OF SMALL INTESTINE The mortality associated with acute obstruction of the jejunum or ileum has progressively improved since the 40% figures seen before Wangensteen's introduction of nasal suction siphonage. The most recent available figures suggest a mortality rate of about 11%.1 Although the occurrence of ileac obstruction is therefore not as catastrophic now as it formerly was, it still commands a very real risk and is worthy of most thorough consideration. Failure of the small intestine to transport and handle material normally may be due either to actual mechanical obstruction to the lumen thereof or to paresis of the musculature of the intestine. The latter condition is seen in inflammatory reaction surrounding the involved segment or occurs reflexly in association with such conditions as renal colic or retroperitoneal hematoma. It is with mechanical complete acute obstruction that this paper is concerned. The anatomical factors underlying such obstruction, in the approximate order of http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

CURRENT PROCEDURE IN MANAGEMENT OF OBSTRUCTION OF SMALL INTESTINE

JAMA , Volume 154 (6) – Feb 6, 1954

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References (13)

Publisher
American Medical Association
Copyright
Copyright © 1954 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1954.02940400001001
Publisher site
See Article on Publisher Site

Abstract

The mortality associated with acute obstruction of the jejunum or ileum has progressively improved since the 40% figures seen before Wangensteen's introduction of nasal suction siphonage. The most recent available figures suggest a mortality rate of about 11%.1 Although the occurrence of ileac obstruction is therefore not as catastrophic now as it formerly was, it still commands a very real risk and is worthy of most thorough consideration. Failure of the small intestine to transport and handle material normally may be due either to actual mechanical obstruction to the lumen thereof or to paresis of the musculature of the intestine. The latter condition is seen in inflammatory reaction surrounding the involved segment or occurs reflexly in association with such conditions as renal colic or retroperitoneal hematoma. It is with mechanical complete acute obstruction that this paper is concerned. The anatomical factors underlying such obstruction, in the approximate order of

Journal

JAMAAmerican Medical Association

Published: Feb 6, 1954

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