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June 5, 1915


JAMA. 1915;LXIV(23):1914. doi:10.1001/jama.1915.02570490030015

The search for the cause of the symptoms and death which frequently attend intestinal obstruction has called forth the efforts of some of the most representative American laboratories in the attempt at an elucidation. At present there is an agreement on some of the features of the situation and a few apparent contradictions in respect to others. Few complex problems of immediate surgical interest have been attacked with greater intelligence and promise of solution. The symptomatology and pathology of intestinal obstruction have been considered from many angles, until today it seems possible to make certain general statements which are likely to improve greatly the surgical treatment of a serious condition. One group of investigators has emphasized the loss of body fluids as a factor in the causation of death; another has pointed out the damage to the intestinal mucosa which must usually be reckoned with; still others have directed attention

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