Ileus is one of the most serious conditions that confront the medical attendant, since if it is not relieved death is inevitable. In order to lower the death rate in such conditions, much depends on early diagnosis, judgment and promptness of action. Relief is by no means possible in all cases; for instance, there is necessarily a high mortality in cases of mesenteric embolism and thrombosis. Therefore, the discussion of the subject of acute intestinal obstruction, from time to time, is of value, not so much for the older practitioners as for those who have more recently entered the profession, so that they may acquire knowledge without encountering the tragedies which fixed the memory of such conditions in the minds of those long in practice.
Cases of acute intestinal obstruction may be regarded as falling naturally into four groups: (1) apparent obstruction, really intestinal stasis, a reflex symptom occurring with
MAYO CH. THE CAUSE AND RELIEF OF ACUTE INTESTINAL OBSTRUCTION. JAMA. 1922;79(3):194–197. doi:10.1001/jama.1922.02640030020006
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