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To the Editor:
—Allow me to comment on Dr. F. K. Boland's article on appendicitis in The Journal, August 6, and especially to emphasize Dr. L. F. Barney's discussion on this article.The treatment of ileus from surgery in acute conditions is the avoidance of enterostomy or similar procedures. Stress should be on continuous gastric lavage from the time emesis starts. The stomach washings should be kept clean. Sugar or dextrose should be given by the intravenous route, and a continuous rectal drip of coffee, dextrose and tap water should be maintained. Also salt solution should be given under the skin by hypodermoclysis. I aim to give 16 pints in twenty-four hours by this method, 16 pints that remain, since the water loss by lavage exceeds the intake. Also digitalis and strychnine should be used as stimulants.This procedure should be preached in every medical and surgical session. There are
Smith MF. APPENDICITIS. JAMA. 1932;99(14):1190–1191. doi:10.1001/jama.1932.02740660068031
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