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GASEOUS DISTENTION ASSOCIATED WITH MECHANICAL OBSTRUCTION OF THE INTESTINE

GASEOUS DISTENTION ASSOCIATED WITH MECHANICAL OBSTRUCTION OF THE INTESTINE Abstract In spite of the fact that absolute evidence has not been obtained as to the cause of the symptoms and death in cases of mechanical obstruction, some writers emphasize distention as a fundamental etiologic factor. The disturbed physicochemical balance of the body has been considered a contributing factor. Herrin and Meeks1 have reported that the symptoms of dehydration, decrease in blood volume, loss of electrolytes, alkalosis and especially dechlorinization were really the basis for the cause of death in cases of obstruction and that these symptoms could be reproduced in experimental animals by distending a segment of intestine to a relatively high air pressure. Carlson2 has produced a condition similar to simple obstruction by the same procedure. The remarkable results obtained by Wangensteen3 by the use of continuous suction with a nasal catheter in cases of simple obstruction may be attributed either to the relief of distention References 1. Herrin, R. C., and Meeks, W. J.: Distention as a Factor in Intestinal Obstruction , Arch. Int. Med. 51:152 ( (Jan.) ) 1933.Crossref 2. Carlson, A. J.: Proc. Staff Meet., Univ. Minnesota Hosp. 3:419, 1932. 3. (a) Wangensteen, O. H.: Therapeutic Considerations in the Management of Acute Intestinal Obstruction , Arch. Surg. 26:933 ( (June) ) 1933Crossref 4. (b) The Early Diagnosis of Acute Intestinal Obstruction with Comments on Pathology and Treatment , West. J. Surg. 40:1, 1932. 5. (c) Wangensteen, O. H., and Paine, J. R.: Nasal Catheter Suction Siphonage: Its Uses and the Technique of Its Employment , Minnesota Med. 16:96, 1933. 6. Burget, G. E.; Martzloff, K.; Thornton, R. C. B., and Suckow, G. R.: The Closed Intestinal Loop: Observations on Dogs with Jejunal and Ileal Loops and Chemical Analysis of the Blood , Arch. Int. Med. 47:593 ( (April) ) 1931.Crossref 7. Raine, F., and Perry, M. C.: Intestinal Obstruction , Arch. Surg. 19:478 ( (Sept.) ) 1929.Crossref 8. Kantor, J. L., and Marks, J. A.: A Study of Intestinal Flatulence , Ann. Int. Med. 3:403, 1929.Crossref 9. von Bunge, G.: Lehrbuch der Physiologie des Menschen , ed. 2, Leipzig, F. C. W. Vogel, 1905. 10. Schierbeck, N. P.: Ueber Kohlensäure im Ventrikel , Skandinav. Arch. f. Physiol. 3:437, 1892.Crossref 11. Kraus-Ragins, L.: Rate of Ammonia Liberation in Tryptic and Peptic Digestion of Casein , Proc. Soc. Exper. Biol. & Med. 30:452, 1933. 12. Smith, V.: Bacterial Flora of Isolated Intestinal Segments , J. Infect. Dis. 48:294, 1921. 13. Meleney, F. L.; Berg, B. N., and Jobling, J. W.: Chronic Duodenal Obstruction , Arch. Surg. 14:762 ( (March) ) 1914. 14. Paine, J. R., and Wilder, L.: Personal communication to the author. 15. Torrey, J. C.: The Regulation of the Intestinal Flora of Dogs Through Diet , J. M. Research 39:415 ( (Jan.) ) 1919. 16. Kantor, J. L.: A Study of Atmospheric Air in the Upper Digestive Tract , Am. J. M. Sc. 155:829, 1919. 17. Schwartz, E.: Ueber Flatulenz , Med. Klin. 5:1339, 1909. 18. Boycott, A. E., and Damant, G. C. C.: A Note on the Quantities of Marsh Gas, Hydrogen and Carbon Dioxide Produced in the Alimentary Canal of Goats , J. Physiol. 36:1837, 1907. 19. McIver, M. A.; Redfield, A. C., and Benedict, E. B.: Gaseous Exchange Between the Blood and the Lumen of the Stomach and Intestine , Am. J. Physiol. 76:92, 1926. 20. Ylppö, A.: München med. Wchnschr. 63:1650, 1916. 21. Dunn, A. D., and Thompson, W.: The Carbon Dioxide and Oxygen Content of Stomach Gas in Normal Persons , Arch. Int. Med. 31:1 ( (Jan.) ) 1923. 22. Campbell, J. A.: Gas Tensions in the Mucous Membranes of the Stomach and Small Intestine , Quart. J. Exper. Physiol. 22:159, 1932. 23. Schoen, R.: Experimentalle Untersuchungen über Meteorismen , Deutsches Arch. f. klin. Med. 147:224 ( (May) ) 1925 24. 148:86 (July) 1925. 25. McIver, M. A.; Benedict, E. B., and Cline, J. W.: Postoperative Gaseous Distention of the Intestine , Arch. Surg. 13:588 ( (Oct.) ) 1926.Crossref 26. Hibbard, J. S.; Swenson, P. C., and Levine, A. G.: Roentgenology of Experimental Mesenteric Vascular Occlusion , Arch. Surg. 26:20 ( (Jan.) ) 1933.Crossref 27. Zuntz and Tacke: Vortag über die Ursachen des Meteorismus , Deutsche med. Wchnschr. 10:717, 1884. 28. Burrell, G. A., and Seibert, F. M.: Sampling and Examination of Mine Gases and Natural Gas , Bulletin 197, U. S. Dept. Commerce, Bureau of Mines, 1926, p. 41. 29. Maury, J. W. D.: Is Death in High Intestinal Obstruction Due to Absorption of Bile? Ann. Surg. 46:556, 1907.Crossref 30. Bunting, C. H., and Jones, A. P.: Intestinal Obstruction in Rabbits , J. Exper. Med. 17:192, 1913Crossref 31. 18:25, 1913. 32. Fries, J. A.: Intestinal Gases of Man , Am. J. Physiol. 16:468, 1906. 33. Basch, Seymour: The Stomach and Intestinal Gases , New York M. J. 88:684, 1908. 34. Woodyatt, R. T., and Graham, E. A.: Secretion of Carbon Dioxide by the Alimentary Mucosa and Its Relation to Eructations of Gas and Abnormal Inflation of the Stomach and Intestine , Tr. Chicago Path. Soc. 8:353, 1912. 35. Mathews, A. P.: Text Book of Physiological Chemistry , New York, William Wood & Company, 1925. 36. MacLeod, J. J. R.: Physiology and Biochemistry in Modern Medicine , St. Louis, C. V. Mosby Company, 1927. 37. Krogh, A. Standin, cited by McIver, Benedict and Cline.22 38. McClendon, J. F.; Shedlov, A., and Thompson, W.: The Hydrogen Ion Concentration of the Ileum Content , J. Biol. Chem. 31:269, 1917. 39. McClendon, J. F.; Shedlov, A., and Karpman, B.: The Hydrogen Ion Concentration of the Contents of the Small Intestine , J. Biol. Chem. 34:1, 1918. 40. Grayzel, David M., and Miller, Edgar G., Jr.: ph Concentration of Intestinal Contents of Dogs with Special Reference to Inorganic Metabolism , Proc. Soc. Exper. Biol. & Med. 24:668, 1927. 41. Graham, W. R., and Emery, E. S.: The Reaction of the Intestinal Contents of Dogs Fed on Different Diets , J. Lab. & Clin. Med. 13:1097, 1928. 42. Hinsberg, in Sidgwick, N. V.: Organic Chemistry of Nitrogen , London, Clarendon Press, 1910. 43. Yant, W. P.: Hydrogen Sulphide in Industry: Occurrence, Effects and Treatment , Am. J. Pub. Health 20:598, 1930. 44. Yant, W. P., and Fowler, H. C.: Hydrogen Sulphide Poisoning in the Texas Panhandle , Big Lake, Texas, McCamey, Texas Oil Fields, U. S. Bureau of Mines Reports of Investigations, serial 2776, 1926, p. 20. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

GASEOUS DISTENTION ASSOCIATED WITH MECHANICAL OBSTRUCTION OF THE INTESTINE

Archives of Surgery , Volume 33 (1) – Jul 1, 1936

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American Medical Association
Copyright
Copyright © 1936 American Medical Association. All Rights Reserved.
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0004-0010
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1538-3644
DOI
10.1001/archsurg.1936.01190010149011
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Abstract

Abstract In spite of the fact that absolute evidence has not been obtained as to the cause of the symptoms and death in cases of mechanical obstruction, some writers emphasize distention as a fundamental etiologic factor. The disturbed physicochemical balance of the body has been considered a contributing factor. Herrin and Meeks1 have reported that the symptoms of dehydration, decrease in blood volume, loss of electrolytes, alkalosis and especially dechlorinization were really the basis for the cause of death in cases of obstruction and that these symptoms could be reproduced in experimental animals by distending a segment of intestine to a relatively high air pressure. Carlson2 has produced a condition similar to simple obstruction by the same procedure. The remarkable results obtained by Wangensteen3 by the use of continuous suction with a nasal catheter in cases of simple obstruction may be attributed either to the relief of distention References 1. Herrin, R. C., and Meeks, W. J.: Distention as a Factor in Intestinal Obstruction , Arch. Int. Med. 51:152 ( (Jan.) ) 1933.Crossref 2. Carlson, A. J.: Proc. Staff Meet., Univ. Minnesota Hosp. 3:419, 1932. 3. (a) Wangensteen, O. H.: Therapeutic Considerations in the Management of Acute Intestinal Obstruction , Arch. Surg. 26:933 ( (June) ) 1933Crossref 4. (b) The Early Diagnosis of Acute Intestinal Obstruction with Comments on Pathology and Treatment , West. J. Surg. 40:1, 1932. 5. (c) Wangensteen, O. H., and Paine, J. R.: Nasal Catheter Suction Siphonage: Its Uses and the Technique of Its Employment , Minnesota Med. 16:96, 1933. 6. Burget, G. E.; Martzloff, K.; Thornton, R. C. B., and Suckow, G. R.: The Closed Intestinal Loop: Observations on Dogs with Jejunal and Ileal Loops and Chemical Analysis of the Blood , Arch. Int. Med. 47:593 ( (April) ) 1931.Crossref 7. Raine, F., and Perry, M. C.: Intestinal Obstruction , Arch. Surg. 19:478 ( (Sept.) ) 1929.Crossref 8. Kantor, J. L., and Marks, J. A.: A Study of Intestinal Flatulence , Ann. Int. Med. 3:403, 1929.Crossref 9. von Bunge, G.: Lehrbuch der Physiologie des Menschen , ed. 2, Leipzig, F. C. W. Vogel, 1905. 10. Schierbeck, N. P.: Ueber Kohlensäure im Ventrikel , Skandinav. Arch. f. Physiol. 3:437, 1892.Crossref 11. Kraus-Ragins, L.: Rate of Ammonia Liberation in Tryptic and Peptic Digestion of Casein , Proc. Soc. Exper. Biol. & Med. 30:452, 1933. 12. Smith, V.: Bacterial Flora of Isolated Intestinal Segments , J. Infect. Dis. 48:294, 1921. 13. Meleney, F. L.; Berg, B. N., and Jobling, J. W.: Chronic Duodenal Obstruction , Arch. Surg. 14:762 ( (March) ) 1914. 14. Paine, J. R., and Wilder, L.: Personal communication to the author. 15. Torrey, J. C.: The Regulation of the Intestinal Flora of Dogs Through Diet , J. M. Research 39:415 ( (Jan.) ) 1919. 16. Kantor, J. L.: A Study of Atmospheric Air in the Upper Digestive Tract , Am. J. M. Sc. 155:829, 1919. 17. Schwartz, E.: Ueber Flatulenz , Med. Klin. 5:1339, 1909. 18. Boycott, A. E., and Damant, G. C. C.: A Note on the Quantities of Marsh Gas, Hydrogen and Carbon Dioxide Produced in the Alimentary Canal of Goats , J. Physiol. 36:1837, 1907. 19. McIver, M. A.; Redfield, A. C., and Benedict, E. B.: Gaseous Exchange Between the Blood and the Lumen of the Stomach and Intestine , Am. J. Physiol. 76:92, 1926. 20. Ylppö, A.: München med. Wchnschr. 63:1650, 1916. 21. Dunn, A. D., and Thompson, W.: The Carbon Dioxide and Oxygen Content of Stomach Gas in Normal Persons , Arch. Int. Med. 31:1 ( (Jan.) ) 1923. 22. Campbell, J. A.: Gas Tensions in the Mucous Membranes of the Stomach and Small Intestine , Quart. J. Exper. Physiol. 22:159, 1932. 23. Schoen, R.: Experimentalle Untersuchungen über Meteorismen , Deutsches Arch. f. klin. Med. 147:224 ( (May) ) 1925 24. 148:86 (July) 1925. 25. McIver, M. A.; Benedict, E. B., and Cline, J. W.: Postoperative Gaseous Distention of the Intestine , Arch. Surg. 13:588 ( (Oct.) ) 1926.Crossref 26. Hibbard, J. S.; Swenson, P. C., and Levine, A. G.: Roentgenology of Experimental Mesenteric Vascular Occlusion , Arch. Surg. 26:20 ( (Jan.) ) 1933.Crossref 27. Zuntz and Tacke: Vortag über die Ursachen des Meteorismus , Deutsche med. Wchnschr. 10:717, 1884. 28. Burrell, G. A., and Seibert, F. M.: Sampling and Examination of Mine Gases and Natural Gas , Bulletin 197, U. S. Dept. Commerce, Bureau of Mines, 1926, p. 41. 29. Maury, J. W. D.: Is Death in High Intestinal Obstruction Due to Absorption of Bile? Ann. Surg. 46:556, 1907.Crossref 30. Bunting, C. H., and Jones, A. P.: Intestinal Obstruction in Rabbits , J. Exper. Med. 17:192, 1913Crossref 31. 18:25, 1913. 32. Fries, J. A.: Intestinal Gases of Man , Am. J. Physiol. 16:468, 1906. 33. Basch, Seymour: The Stomach and Intestinal Gases , New York M. J. 88:684, 1908. 34. Woodyatt, R. T., and Graham, E. A.: Secretion of Carbon Dioxide by the Alimentary Mucosa and Its Relation to Eructations of Gas and Abnormal Inflation of the Stomach and Intestine , Tr. Chicago Path. Soc. 8:353, 1912. 35. Mathews, A. P.: Text Book of Physiological Chemistry , New York, William Wood & Company, 1925. 36. MacLeod, J. J. R.: Physiology and Biochemistry in Modern Medicine , St. Louis, C. V. Mosby Company, 1927. 37. Krogh, A. Standin, cited by McIver, Benedict and Cline.22 38. McClendon, J. F.; Shedlov, A., and Thompson, W.: The Hydrogen Ion Concentration of the Ileum Content , J. Biol. Chem. 31:269, 1917. 39. McClendon, J. F.; Shedlov, A., and Karpman, B.: The Hydrogen Ion Concentration of the Contents of the Small Intestine , J. Biol. Chem. 34:1, 1918. 40. Grayzel, David M., and Miller, Edgar G., Jr.: ph Concentration of Intestinal Contents of Dogs with Special Reference to Inorganic Metabolism , Proc. Soc. Exper. Biol. & Med. 24:668, 1927. 41. Graham, W. R., and Emery, E. S.: The Reaction of the Intestinal Contents of Dogs Fed on Different Diets , J. Lab. & Clin. Med. 13:1097, 1928. 42. Hinsberg, in Sidgwick, N. V.: Organic Chemistry of Nitrogen , London, Clarendon Press, 1910. 43. Yant, W. P.: Hydrogen Sulphide in Industry: Occurrence, Effects and Treatment , Am. J. Pub. Health 20:598, 1930. 44. Yant, W. P., and Fowler, H. C.: Hydrogen Sulphide Poisoning in the Texas Panhandle , Big Lake, Texas, McCamey, Texas Oil Fields, U. S. Bureau of Mines Reports of Investigations, serial 2776, 1926, p. 20.

Journal

Archives of SurgeryAmerican Medical Association

Published: Jul 1, 1936

References