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Article
July 1950

SURGICAL DECOMPRESSION OF THE COLON FOR MALIGNANT OBSTRUCTIONDescription of Technic

Author Affiliations

KANSAS CITY, MO.

Arch Surg. 1950;61(1):131-142. doi:10.1001/archsurg.1950.01250020134015
Abstract

ACUTE obstruction of the colon is reported not to be common; however, my colleagues and I have had a sufficient number of cases to form certain opinions and to standardize an effective technic for decompression. The frequency of acute colonic obstruction is difficult to determine. Estimation of what an acute obstruction of the colon is varies considerably. It is sufficient to say that it is a dilatation of the colon severe enough to produce abdominal distress and obvious abdominal distention.

In large clinics to which patients are brought from afar the incidence is low, while in congested centers it arises materially. The incidence as reported by Rankin1 was 5 per cent, Gregg and Dixon2 5.5 per cent, Rea, Smith and Schwyzer3 15.2 per cent, Campbell4 over 30 per cent, Burgess5 35.6 per cent, Graham6 16 per cent, Brindley7 20.6 per cent, (190 cases),

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