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January 23, 1937

MECHANICAL DECOMPRESSION OF THE SMALL INTESTINE IN ILEUSIII. CLINICAL OBSERVATIONS WITH REPORT OF CASES

JAMA. 1937;108(4):260-266. doi:10.1001/jama.1937.02780040010003
Abstract

The difficulty or impossibility of replacing tremendously or even moderately distended loops of intestine that have been either accidentally or intentionally eviscerated during operation for intestinal obstruction and the danger of producing "waterhose" kinks when rigidly distended intestine is forcibly replaced in the abdomen quite naturally led to the practice of evacuating the contents of distended loops by performing an enterostomy and "milking" or "stripping" out the intestinal contents at the time of operation (fig. 4). The use of stripping has been extended by some to the treatment of intestinal obstruction in which distention is only slight or moderate in degree. Those who have advocated the procedure under such circumstances have felt that the attendant beneficial effects were sufficient to warrant its use as a procedure of election. The practice of stripping the intestine under these less urgent circumstances certainly should not be justified unless it could be established that

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