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Article
July 1924

STUDIES OF ACUTE INTESTINAL OBSTRUCTIONI. DIFFERENT TYPES OF OBSTRUCTION PRODUCED UNDER LOCAL ANESTHESIA

Author Affiliations

PORTLAND, ORE.

From the Departments of Anatomy and Physiology, University of Oregon Medical School.

Arch Intern Med (Chic). 1924;34(1):97-107. doi:10.1001/archinte.1924.00120010108008

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Abstract

Acute intestinal obstruction as presented in our schools and described in textbooks is often treated as a clinical entity in which there is one chain of symptoms and one type of treatment. The various etiologic factors are mentioned, but no variance of symptomatology or treatment to correspond with the diverse pathology is specified. The mortality rates are also usually classified under one general heading despite the dissimilar pathogenicity.

In a like manner, most of the experimental work of the last thirty years has disregarded the different underlying morbid conditions. The endeavor has generally been to find one specific lethal factor. Little notice has been taken of the extent or type of the lesion produced. This treatment of the subject must be fundamentally wrong. If not, how are we to explain the great differences in the physical and mental condition in acute obstruction cases seen clinically?

One patient, with an acute

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