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MECHANICAL DECOMPRESSION OF THE INTESTINE IN TREATMENT OF ILEUS: I. EFFECT OF STRIPPING ON BLOOD PRESSURE

MECHANICAL DECOMPRESSION OF THE INTESTINE IN TREATMENT OF ILEUS: I. EFFECT OF STRIPPING ON BLOOD... Abstract The production of immediate and complete relief from distention of the small bowel associated with acute mechanical intestinal obstruction by performing enterostomy and stripping, or milking, the contents of the bowel at the time of operation (fig. 1) would be a desirable accomplishment if the necessary manipulation of the intestine were not accompanied by considerable immediate or delayed undesirable effects. The evaluation of the procedure on the basis of clinical experience has resulted in the expression of widely divergent opinions by observers who have had equal or comparable experience in the management of intestinal obstruction. Clinicians who have advocated stripping or evacuation of the intestinal contents at the time of operation for the relief of acute intestinal obstruction include Moynihan,1 Cheever,2 Holden3 and Van Zwalenburg.4 Morton,5 on the other hand, expressed the opinion of physicians who are opposed to the method and asserted that emptying References 1. Moynihan, Berkeley: Abdominal Operations , ed. 4, Philadelphia, W. B. Saunders Company, 1926, vol. 1. 2. Cheever, David: Operative Evacuation of the Small Intestine in Paralytic Stasis , New England J. Med. 207:1125, 1932.Crossref 3. Holden, W. B.: Surgical Treatment of Acute Intestinal Obstruction , Surg., Gynec. & Obst. 50:184, 1930. 4. Van Zwalenburg, C.: Hydraulic Vicious Circle as It Develops in the Intestine: Effect of Intraintestinal Pressure on the Pathology and Physiology of the Bowel , Am. J. Surg. 18:104, 1932. 5. Morton, J. J.: The Treatment of Ileus as Indicated by Clinical Experience and Experimental Studies , Ann. Surg. 95:856, 1932. 6. Läwen, A.: Zur Operation des Ileus , Zentralbl. f. Chir. 54:1037, 1927. 7. Blalock, Alfred: The Mechanism of the Production and the Treatment of Shock , J. M. A. Alabama 1:94 ( (Sept.) ) 1931. 8. Storck, Ambrose H., and Ochsner, Alton: Mechanical Emptying of the Intestinal Contents in Treatment of Ileus: II. Effect on Intestinal Activity, Arch. Surg., this issue, p. 670. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

MECHANICAL DECOMPRESSION OF THE INTESTINE IN TREATMENT OF ILEUS: I. EFFECT OF STRIPPING ON BLOOD PRESSURE

Archives of Surgery , Volume 33 (4) – Oct 1, 1936

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Publisher
American Medical Association
Copyright
Copyright © 1936 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1936.01190040122008
Publisher site
See Article on Publisher Site

Abstract

Abstract The production of immediate and complete relief from distention of the small bowel associated with acute mechanical intestinal obstruction by performing enterostomy and stripping, or milking, the contents of the bowel at the time of operation (fig. 1) would be a desirable accomplishment if the necessary manipulation of the intestine were not accompanied by considerable immediate or delayed undesirable effects. The evaluation of the procedure on the basis of clinical experience has resulted in the expression of widely divergent opinions by observers who have had equal or comparable experience in the management of intestinal obstruction. Clinicians who have advocated stripping or evacuation of the intestinal contents at the time of operation for the relief of acute intestinal obstruction include Moynihan,1 Cheever,2 Holden3 and Van Zwalenburg.4 Morton,5 on the other hand, expressed the opinion of physicians who are opposed to the method and asserted that emptying References 1. Moynihan, Berkeley: Abdominal Operations , ed. 4, Philadelphia, W. B. Saunders Company, 1926, vol. 1. 2. Cheever, David: Operative Evacuation of the Small Intestine in Paralytic Stasis , New England J. Med. 207:1125, 1932.Crossref 3. Holden, W. B.: Surgical Treatment of Acute Intestinal Obstruction , Surg., Gynec. & Obst. 50:184, 1930. 4. Van Zwalenburg, C.: Hydraulic Vicious Circle as It Develops in the Intestine: Effect of Intraintestinal Pressure on the Pathology and Physiology of the Bowel , Am. J. Surg. 18:104, 1932. 5. Morton, J. J.: The Treatment of Ileus as Indicated by Clinical Experience and Experimental Studies , Ann. Surg. 95:856, 1932. 6. Läwen, A.: Zur Operation des Ileus , Zentralbl. f. Chir. 54:1037, 1927. 7. Blalock, Alfred: The Mechanism of the Production and the Treatment of Shock , J. M. A. Alabama 1:94 ( (Sept.) ) 1931. 8. Storck, Ambrose H., and Ochsner, Alton: Mechanical Emptying of the Intestinal Contents in Treatment of Ileus: II. Effect on Intestinal Activity, Arch. Surg., this issue, p. 670.

Journal

Archives of SurgeryAmerican Medical Association

Published: Oct 1, 1936

References