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November 21, 1942

Intestinal Obstructions: A Physiological and Clinical Consideration with Emphasis on Therapy; Including Description of Operative Procedures

JAMA. 1942;120(12):994. doi:10.1001/jama.1942.02830470122036

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The addition of continuous suction through an indwelling duodenal tube to the treatment of intestinal obstruction is undoubtedly one of the most important contributions to surgery in the past decade. For this and for clarification of the entire subject of intestinal obstruction we are indebted to Dr. Wangensteen. He has not only done a great deal of fundamental research but has popularized and taught the subject to the entire medical profession.

The first edition of this book was well written and carried a message which was well received and perhaps too well learned. Undoubtedly a few patients were treated conservatively who should have had early operations for relief of strangulation obstruction. The swing of the pendulum in that direction and the swing back away from too much conservatism was a natural sequence of events. In the second edition Dr. Wangensteen discusses this reaction and attempts to secure a more even

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