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November 8, 1958

Intestinal Obstruction

JAMA. 1958;168(10):1419. doi:10.1001/jama.1958.03000100121024

From the mass of literature on intestinal obstruction and from his own experiences, the author has presented the salient facts about intestinal obstruction. This monograph is thus a ready reference for interns, residents, and surgeons who are responsible for the care of such patients. In the early chapters, the causative factors, lesions, and pathological physiology are reviewed as an introduction to the clinical management of patients with intestinal obstructions. In the discussion of the diagnosis of intestinal obstruction, it is wisely stated that "although the diagnosis can be made by x-ray, in 90% of the cases strict reliance on this method is unwise." Close cooperation between radiologist and surgeon is necessary to obtain the best result. Although the danger of giving barium to patients with intestinal obstruction is fully discussed, the author is not opposed to giving thin barium or sodium acetrizoate orally in order to locate the site of

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