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Article
December 4, 1943

MASSIVE RESECTION OF THE JEJUNUM AND ILEUM FOR GUNSHOT WOUNDS OF THE SMALL INTESTINE AND ITS MESENTERY: METABOLIC STUDY FOLLOWING RECOVERY

Author Affiliations

MEDICAL CORPS, ARMY OF THE UNITED STATES; MEDICAL CORPS, ARMY OF THE UNITED STATES

From the Surgical Service, Walter Reed General Hospital.

JAMA. 1943;123(14):896-897. doi:10.1001/jama.1943.82840490001009
Abstract

Resection is frequently indicated in the treatment of penetrating wounds of the small intestine and its mesentery. Wounds which have destroyed a section of the bowel, impaired its blood supply by injuries to its mesentery or caused large contiguous lacerations cannot be closed. Such wounds require resection. These lesions requiring resection may be multiple, involving various segments of the intestine with normal bowel between them. It is important to determine whether a single resection of the multiple wounds can be performed or whether multiple resections of the involved segments shall be undertaken. It is recognized that multiple resections definitely increase the mortality. There is no recorded case of a successful triple resection during World War I. If a single resection of the involved segments of bowel is elected, it may be necessary to remove an extremely long section. Therefore the total length of small bowel which can safely be removed without

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