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Article
July 1950

FACTORS RESPONSIBLE FOR IMPROVED RESULTS IN THE MANAGEMENT OF ACUTE INTESTINAL OBSTRUCTION

Author Affiliations

OMAHA
From the Department of Surgery, University of Nebraska College of Medicine, University Hospital and affiliated hospitals.

Arch Surg. 1950;61(1):115-122. doi:10.1001/archsurg.1950.01250020118013
Abstract

THE PURPOSE of this paper is to report the striking improvement which has occurred in the management of acute intestinal obstruction in the past five years and to analyze the responsible factors. The material consists of a total group of 205 patients with acute intestinal obstruction, of whom 126 were private patients and 79 were charity patients seen in the University Hospital. The first group, totaling 80 patients, was treated between the years 1935 and 1942, with a mortality of 20.3 per cent. In the second series of 125 cases, observed between 1946 and 1949, the mortality was reduced to 8.8 per cent. We believe that this striking reduction in the mortality results from a number of factors which may be enumerated as follows: (1) earlier diagnosis caused by our being obstruction conscious; (2) prompt intubation in all cases of obstruction of the small bowel when distention is present; (3)

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