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September 21, 1907


Author Affiliations

Clinical Professor of Surgery, University of Maryland. BALTIMORE.

JAMA. 1907;XLIX(12):1006-1017. doi:10.1001/jama.1907.25320120028002f

In the list of complications and sequelæ following a surgical operation involving the opening of the abdomen, perhaps no single one is more to be dreaded or more urgently demands early recognition and prompt relief than intestinal obstruction, and occurring as a postoperative ileus it is, in fact, one of the most serious and dangerous, as well as one of the most fatal surgical conditions, the surgeon is called on to face. It frequently is insidious in its manifestations, but more often rapid in its progress and liable to sudden and progressive changes which steadily but surely put the patient in a condition of extreme peril. One naturally has a feeling of dread when he has to face a case of postoperative ileus, because so often surgical relief is not sought until the patient is exhausted or until necrosis of the bowel wall has taken place, and associated either with

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