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Article
June 1933

THERAPEUTIC CONSIDERATIONS IN THE MANAGEMENT OF ACUTE INTESTINAL OBSTRUCTIONTECHNIC OF ENTEROSTOMY AND A FURTHER ACCOUNT OF DECOMPRESSION BY THE EMPLOYMENT OF SUCTION SIPHONAGE BY NASAL CATHETER

Arch Surg. 1933;26(6):933-961. doi:10.1001/archsurg.1933.01170060002001
Abstract

PHYSIOLOGICOPATHOLOGIC CONSIDERATIONS  The work of Hartwell and Hoguet1 establishing the efficacy of subcutaneous administration of saline solution in definitely prolonging the lives of dogs with high intestinal obstruction lent considerable impetus to the experimental investigation of obstruction of the bowel. Unfortunately, a like interest in the field has not been generally manifest among clinicians, with the unhappy effect that results in the management of acute intestinal obstruction have not kept astride with increases in knowledge concerning the subject.The experimental work of the decade following the observation of Hartwell and his associates dealt largely with the nature of the toxin in high intestinal obstruction and a study of the chemical alterations in the blood attending obstruction of the bowel. The numerous experimental studies of Haden and Orr contributed materially to a better understanding of the chemical changes attending obstruction of the upper part of the intestine. Investigations concerning the

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