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July 1946

CONGENITAL DUODENAL OBSTRUCTION: Roentgen Diagnosis by Insufflation of Air

Author Affiliations

Resident in Radiology; Research Fellow in Pediatrics BROOKLYN
From the Radiologic Service of Dr. Milton G. Wasch and the Pediatric Service of Dr. Benjamin Kramer, The Jewish Hospital.

Am J Dis Child. 1946;72(1):81-88. doi:10.1001/archpedi.1946.02020300088005

IN recent years there has been a significant improvement in the results of the surgical management of congenital duodenal obstruction. In November 1945 Swenson and Ladd1 reported 21 cases of intrinsic duodenal obstruction in the newborn, with 13 recoveries after operation. At the same time they reported 30 cases of extrinsic obstruction, with 26 recoveries. This record is in sharp contrast to that existing only two decades ago. In 1922 Davis and Poynter2 presented 392 cases of congenital intestinal obstruction of all parts of the intestinal tract above the anus. In this survey of the literature, based on observations either at autopsy or operation, there were only 2 recoveries, a mortality of almost 99.5 per cent.

This striking decrease in mortality can to a considerable extent be attributed to the early roentgenographic diagnosis of these developmental anomalies. Swenson and Ladd1 emphasized that "not only is the mortality

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