Abstract ACUTE obstruction of the colon is reported not to be common; however, my colleagues and I have had a sufficient number of cases to form certain opinions and to standardize an effective technic for decompression. The frequency of acute colonic obstruction is difficult to determine. Estimation of what an acute obstruction of the colon is varies considerably. It is sufficient to say that it is a dilatation of the colon severe enough to produce abdominal distress and obvious abdominal distention. In large clinics to which patients are brought from afar the incidence is low, while in congested centers it arises materially. The incidence as reported by Rankin1 was 5 per cent, Gregg and Dixon2 5.5 per cent, Rea, Smith and Schwyzer3 15.2 per cent, Campbell4 over 30 per cent, Burgess5 35.6 per cent, Graham6 16 per cent, Brindley7 20.6 per cent, (190 cases), References 1. Rankin, F. W.: Resection and Obstruction of the Colon (Obstructive Resection) , Surg., Gynec. & Obst. 50:594-598 ( (March) ) 1930. 2. Gregg, R. O., and Dixon, C. F.: Operative Malignant Lesions of the Colon Producing Obstruction , S. Clin. North America 21:1143-1152 ( (Aug.) ) 1941. 3. Rea, C. E.; Smith, B. A., Jr., and Schwyzer, H.: Carcinoma of Colon and Rectum , Bull. Staff Meet., Minnesota Gen. Hosp. 10:354-364 ( (April 28) ) 1939. 4. Campbell, O. J.: Surgery of Carcinoma of the Colon , Ann. Surg. 94:705-715 (March) 1931. 5. Barling, S., and others, in discussion on Burgess, A. H.: The Treatment of Obstruction of the Colon , Brit. M. J. 2:547-556 ( (Sept. 29) ) 1923. 6. Graham, R. R.: Carcinoma of the Colon , Am. J. Digest. Dis. & Nutrition 1:584-588 ( (Oct.) ) 1934. 7. Brindley, G. V.: Acute Obstructions of the Colon , Texas State J. Med. 40:571-577 ( (March) ) 1945. 8. Dennis, C.: Treatment of Large Bowel Obstruction: Transverse Colostomy—Incidence of Incompetency of Ileocecal Valve; Experience at the University of Minnesota Hospitals , Surgery 15:713-734 ( (May) ) 1944. 9. Rosser, C.: Personal communication to the author. 10. Bruusgaard, C.: Volvulus of the Sigmoid Colon and Its Treatment , Surgery 22:466-478 ( (Sept.) ) 1947. 11. Strauss, A. A.: Preliminary Ileostomy as an Important Aspect of Colon Surgery Based on 30 Years of Clinical Experience , J. Internat. Coll. Surgeons 11:178-181 ( (March-April) ) 1948.
Archives of Surgery – American Medical Association
Published: Jul 1, 1950