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October 26, 1940

THE MANAGEMENT OF INTESTINAL OBSTRUCTIONAN EVALUATION OF CONSERVATIVE THERAPY

JAMA. 1940;115(17):1411-1416. doi:10.1001/jama.1940.02810430001001
Abstract

Nonoperative or conservative treatment of intestinal obstruction often leads to favorable and dramatic results. Because some authorities have stated that intestinal obstruction is invariably a surgical condition, we have felt it perhaps worth while to review the cases of intestinal obstruction encountered in the past year and to consider critically the value of conservative treatment.

The majority of reports that deal with nonsurgical decompression are concerned with acute obstruction of the small intestine. This study consists of the results obtained from treatment in cases of intestinal obstruction encountered at the Mayo Clinic from Aug. 1, 1938, to July 31, 1939, inclusive. All types of obstruction are included, acute, chronic, simple and strangulated, in both the large and the small bowel. Our chief purpose in this review is to obtain a broader and more inclusive evaluation of the role of conservative therapy.

Since the advent of aseptic surgery there have been

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