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July 18, 1990

Bowel Obstruction: Differential Diagnosis and Clinical Management

Author Affiliations

Montefiore Medical Center Albert Einstein College of Medicine Bronx, NY

Montefiore Medical Center Albert Einstein College of Medicine Bronx, NY


by John P. Welch, 711 pp, with 557 illus, $95, ISBN 0-7216-1963-0, Philadelphia, Pa, WB Saunders, 1990.

JAMA. 1990;264(3):394-395. doi:10.1001/jama.1990.03450030118046

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


This excellent book contains everything you have ever wanted to know about bowel obstruction—and more. It is divided into three sections, each of which has several chapters. At the beginning of each chapter, there is an outline of the various topics covered. Each chapter ends with an extensive list of references ranging from the very old (1846) to the very new (1989).

The first section looks at the conditions that can lead to, or be mistaken for, bowel obstruction. Chapter 2 has a lucid presentation of the pathophysiology, including areas such as electrical activity and hormonal control. The chapter on radiological diagnosis has excellent figures that clearly illustrate the various points being discussed. Motility disorders that mimic bowel obstruction are discussed and helpfully tabulated in chapter 7. For those of us who care for chronically ill patients, some of whom are in long-term—care settings, this is an especially interesting and