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Article
August 1927

THE STATUS OF ENTEROSTOMY IN THE TREATMENT OF ACUTE ILEUS: A STATISTICAL INQUIRY

Arch Surg. 1927;15(2):288-297. doi:10.1001/archsurg.1927.01130200136011
Abstract

Any one who is interested in the treatment of patients with acute ileus must have been encouraged by the enthusiastic recommendation that has been given to enterostomy as a life-saving procedure. Within the past fifteen years, Elsberg,1 Woolsey,2 Bonney,3 McGlannan,4 McKenna,5 McKinnon,6 Richardson,7 Summers,8 DeLore and Conrozier,9 Wortman,10 Vollhardt,11 Walker,12 C. H. Mayo,13 Barber,14 Boit,15 W. J. Mayo,16 Taylor17 and many others have recommended the use of enterostomy, particularly of a high jejunostomy. Some of these observers have reported cases to support their recommendations; a few have reported series of cases, while others have merely enthusiastically recommended jejunostomy. Since some of these recommendations were authoritative, we were inclined to accept them, but certain facts have led us to question the procedure. For example, we found that there was a high mortality rate in

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